Provider Demographics
NPI:1033249784
Name:RXPERTS L.L.C.
Entity Type:Organization
Organization Name:RXPERTS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:GOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-458-1102
Mailing Address - Street 1:2350 HIGHWAY 72 N
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-5718
Mailing Address - Country:US
Mailing Address - Phone:865-458-1102
Mailing Address - Fax:865-458-1108
Practice Address - Street 1:2350 HIGHWAY 72 N
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-5718
Practice Address - Country:US
Practice Address - Phone:865-458-1102
Practice Address - Fax:865-458-1108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34373336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1452429Medicaid
1274920001Medicare ID - Type UnspecifiedMEDICARE