OrganizationActive
Advanced Specialty Pharmacy of Knoxville, LLC
NPI 1104057579 · Pharmacy · Knoxville, TN
Provider details
- NPI number
- 1104057579
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Charles Wall, Owner(865) 909-9713
- License
- 4499 (TN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
9947 Kingston Pike
Knoxville, TN 37922-6923
Phone: (865) 909-9713
Fax: (865) 909-9397
Street-level locationGet directions
Mailing address
9947 Kingston Pike
Knoxville, TN 37922-6923
Other names (DBA / former)
- Doing business as
- Heartland Apothecary
- Doing business as
- Heartland Apothecary
Registry dates
- Enumerated
- 2009-08-04
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.