Windham Drug Jellico, Inc
NPI 1578099016 · Community/Retail Pharmacy · Jellico, TN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Windham Drug Jellico, Inc is a Community/Retail Pharmacy organization in Jellico, TN (NPI 1578099016).
Provider details
- NPI number
- 1578099016
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Justin Smith, Vice-President(423) 784-3630
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Other names (DBA / former)
- Doing business as
- Windham Drug Jellico
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Frequently asked questions
- What is Windham Drug Jellico, Inc's NPI number?
- Windham Drug Jellico, Inc's National Provider Identifier (NPI) is 1578099016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Windham Drug Jellico, Inc?
- Windham Drug Jellico, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Windham Drug Jellico, Inc located?
- Windham Drug Jellico, Inc's practice location on file with NPPES is 1184 5th St, Jellico, TN 37762-2629.
- What is Windham Drug Jellico, Inc's phone number?
- The practice phone number listed in the NPPES registry for Windham Drug Jellico, Inc is (423) 784-3630.
- Does Windham Drug Jellico, Inc accept Medicare?
- Windham Drug Jellico, 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 Windham Drug Jellico, Inc?
- The authorized official listed on Windham Drug Jellico, Inc's NPPES record is Justin Smith, Vice-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Windham Drug Jellico, Inc's NPI active?
- Yes — Windham Drug Jellico, Inc's NPI (1578099016) is active in the NPPES registry as of the last update on 2017-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.