OrganizationActive
Anti Aging Concepts, LLC
NPI 1760528806 · Community/Retail Pharmacy · Chattanooga, TN
Provider details
- NPI number
- 1760528806
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gary Keel, Chief Manager(423) 892-8635
- License
- 4141 (TN)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1510 Gunbarrel Rd
Suite 700
Chattanooga, TN 37421-7174
Phone: (423) 892-8635
Fax: (423) 892-8106
Street-level locationGet directions
Mailing address
1510 Gunbarrel Rd
Chattanooga, TN 37421-7174
Other names (DBA / former)
- Doing business as
- Professional Pharmacy Services
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2008-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.