Advanced Specialty Pharmacy of Knoxville, LLC
NPI 1104057579ActiveOrganization· Pharmacy· Knoxville, TN
Pharmacy in Knoxville, Tennessee, registered in NPPES in August 2009. The authorized official on file is Charles R. Wall, Owner.
Overview
| NPI | 1104057579 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2009 |
| Last updated in NPPES | Oct 8, 2020 |
| Certified by provider | Oct 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 4499 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy providers in Knoxville
- 1063737732
- 1396834982
- 1356729719
- 1003629528
- 1225179369
- 1508113143
- 1043691009
- 1114990744
- 1629371174
- 1124040878
- 1306868054
- 1528165024