Provider Demographics
NPI:1821382383
Name:ASHEVILLE HIGHWAY PHARMACY INC
Entity Type:Organization
Organization Name:ASHEVILLE HIGHWAY PHARMACY INC
Other - Org Name:ATCHLEY DRUG CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIDDINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-630-7030
Mailing Address - Street 1:511 ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37743-4669
Mailing Address - Country:US
Mailing Address - Phone:423-639-5155
Mailing Address - Fax:423-639-2476
Practice Address - Street 1:511 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37743-4669
Practice Address - Country:US
Practice Address - Phone:423-639-5155
Practice Address - Fax:423-639-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103G877552OtherSTATE OF TENNESSEE (MEDICARE)
4444371OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TN7579620001OtherSTATE OF TENNESSEE (MEDICARE) DME