OrganizationActive
Formulab LLC
NPI 1174834758 · Community/Retail Pharmacy · Knoxville, TN
Formulab LLC is a Community/Retail Pharmacy organization in Knoxville, TN (NPI 1174834758).
Provider details
- NPI number
- 1174834758
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Scotty Wyatt, Member(865) 588-0689
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
5821 Walden Dr
Knoxville, TN 37919-6334
Phone: (865) 588-0689
Fax: (865) 588-0680
Street-level locationGet directions
Mailing address
5821 Walden Dr
Knoxville, TN 37919-6334
Other names (DBA / former)
- Doing business as
- Community Pharmacy
Registry dates
- Enumerated
- 2010-06-29
- Last updated
- 2011-05-16
Frequently asked questions
- What is Formulab LLC's NPI number?
- Formulab LLC's National Provider Identifier (NPI) is 1174834758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Formulab LLC?
- Formulab LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Formulab LLC located?
- Formulab LLC's practice location on file with NPPES is 5821 Walden Dr, Knoxville, TN 37919-6334.
- What is Formulab LLC's phone number?
- The practice phone number listed in the NPPES registry for Formulab LLC is (865) 588-0689.
- Who is the authorized official for Formulab LLC?
- The authorized official listed on Formulab LLC's NPPES record is Scotty Wyatt, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Formulab LLC's NPI active?
- Yes — Formulab LLC's NPI (1174834758) is active in the NPPES registry as of the last update on 2011-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.