Jellico Drug Store Inc
NPI 1093753196 · Community/Retail Pharmacy · Jellico, TN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jellico Drug Store Inc is a Community/Retail Pharmacy organization in Jellico, TN (NPI 1093753196).
Provider details
- NPI number
- 1093753196
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Baird, Owner / Pharmacist / President(423) 784-6226
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2015-09-01
Frequently asked questions
- What is Jellico Drug Store Inc's NPI number?
- Jellico Drug Store Inc's National Provider Identifier (NPI) is 1093753196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jellico Drug Store Inc?
- Jellico Drug Store Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jellico Drug Store Inc located?
- Jellico Drug Store Inc's practice location on file with NPPES is 229 S Main St, Jellico, TN 37762-2018.
- What is Jellico Drug Store Inc's phone number?
- The practice phone number listed in the NPPES registry for Jellico Drug Store Inc is (423) 784-6226.
- Does Jellico Drug Store Inc accept Medicare?
- Jellico Drug Store Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jellico Drug Store Inc?
- The authorized official listed on Jellico Drug Store Inc's NPPES record is John Baird, Owner / Pharmacist / President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jellico Drug Store Inc's NPI active?
- Yes — Jellico Drug Store Inc's NPI (1093753196) is active in the NPPES registry as of the last update on 2015-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.