OrganizationActive
State of Tennessee State F & a Payroll
NPI 1104869486 · Long Term Care Pharmacy · Chattanooga, TN
Provider details
- NPI number
- 1104869486
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jason Carter, Chief of Pharmacy(615) 532-6736
Specialties & taxonomies
Suppliers
- Institutional Pharmacy3336I0012X
Suppliers
Profile Score
Detailed profile(91/100 index)
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
100 Moccasin Bend Rd
Chattanooga, TN 37405-4415
Phone: (423) 785-3321
Fax: (423) 785-3454
Street-level locationGet directions
Mailing address
100 Moccasin Bend Rd
Chattanooga, TN 37405-4415
Other names (DBA / former)
- Doing business as
- Moccasin Bend Mental Health Inst
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2014-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.