MEDICARE: CLEVELAND WORX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy	24	TN
2	3336C0003X	Community/Retail Pharmacy	24	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	Q059620001	OTHER	TN	MEDICARE FLU PROVIDER #
4	7756550001	OTHER	TN	MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4414227	OTHER	TN	NABP

General Provider Information

NPI Number	:	1689611493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND WORX LLC

Provider Business Mailing Address
First Line	:	1525 25TH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311
Country	:	US
Telephone Number	:	423-559-3000
Fax Number	:	423-559-3007

Provider Business Practice Location Address
First Line	:	1525 25TH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311
Country	:	US
Telephone Number	:	423-559-3000
Fax Number	:	423-559-3007

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	CHAD SMITH
Credential	:
Telephone Number	:	423-559-3000

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	01/29/2026

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Directions to “CLEVELAND WORX LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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