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NPI · 1043364490 · NPPES-sourced

Mountain Valley Rx 05 INC

ActiveCommunity/Retail Pharmacy
NPI Number
1043364490
Type 2 · Organisation
Taxonomy Code
3336C0003X
Contact
(865) 471-5111
License TN · 3918
Last Updated
Enumerated
Primary practice addressTN · 37760-2517
153 E Broadway Blvd, Ste 103Jefferson City, TN 37760-2517
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About this NPIWhat this record shows.

NPI 1043364490 is registered to Mountain Valley Rx 05 INC, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 153 E Broadway Blvd, Ste 103 in Jefferson City, Tennessee. The organisation's authorised official is Beau Kisabeth. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 4437364· Issued by NCPDP PROVIDER IDENTIFICATION NUMBER

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mountain Valley Rx 05 INC accepts. To confirm in-network status with your specific health plan, contact Mountain Valley Rx 05 INC directly at (865) 471-5111.

Frequently asked

Yes. NPI 1043364490 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (865) 471-5111.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mountain Valley Rx 05 INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0003X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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1 record · same addressOther providers at this location.

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Same specialtyOther Community/Retail Pharmacy providers in Tennessee.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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