JKBC WOLF INC (NPI# 1144358466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144358466 |
| Entity Type | Organization |
| Organization Name | JKBC WOLF INC |
| Other Organization Name | MADISON AVENUE PHARMACY |
| Practice Address |
1001 W Madison Ave Athens TN 37303 |
| Mailing Address |
Po Box 1187 Athens TN 37371-1187 |
| Practice Telephone | 4237462626 |
| Mailing Telephone | 4237462626 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | JEFFRY HERMAN WOLFENDEN (OWNER) |
| Authorized Official Telephone | 4233686439 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3583 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | BM6908973 | 01 |
| TN | NCPDP | 4434584 | 01 |
| Other Name | Type Code |
|---|---|
| MADISON AVENUE PHARMACY | Doing Business As Name - Organization |
| Street Address |
1001 W MADISON AVE |
| City | ATHENS |
| State | TN |
| Zip Code | 37303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942714688 | Renee Miklyn Huskey | Pharmacist | 1001 W Madison Ave, Athens, TN 37303-3433 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565963 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 22454 Us Hwy 72, Suite 120, Athens, AL 35613 | 2018-07-20 |
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
| 1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
| 1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
| 1952660490 | Ingles Markets Inc. | Pharmacy | 917 Decatur Pike, Athens, TN 37303-3037 | 2012-05-03 |
| 1083719843 | Riddle and Wallace Drug | Pharmacy | 8 Washington Ave, Athens, TN 37303 | 2006-09-14 |
| 1932203726 | Cvs Pharmacy Inc | Pharmacy | 702 E Tyler St, Athens, TX 75751-2112 | 2006-09-12 |
| 1215030739 | Ohio Cvs Stores LLC | Pharmacy | 32 S Court St, Athens, OH 45701-2810 | 2006-09-07 |
| 1790888493 | Ohio Cvs Stores LLC | Pharmacy | 555 E State St, Athens, OH 45701-2104 | 2006-09-07 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.