MEDICAL MALL PHARMACY INC


Address: 1 Medical Park Blvd, Suite 106-e, Bristol, TN 37620-7430
Phone: 4238442888

MEDICAL MALL PHARMACY INC (NPI# 1598768699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598768699
Entity Type Organization
Organization Name MEDICAL MALL PHARMACY INC
Other Organization Name MEDICAL MALL PHARMACY
Practice Address 1 Medical Park Blvd
Suite 106-e
Bristol
TN 37620-7430
Mailing Address 1 Medical Park Blvd Ste 106
Bristol
TN 37620-7430
Practice Telephone 4238442888
Practice Fax Number 4238442891
Enumeration Date 2005-05-23
Last Update Date 2009-04-30
Authorized Official Name KRISTINE HAGEE (PHARMACY SYSTEMS ANALYST)
Authorized Official Telephone 4232308432
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
2964 TN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 4428719 01
TN 008503257 05

Other Provider/Organization Names

Other Name Type Code
MEDICAL MALL PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275536997 Medical Mall Pharmacy Inc Pharmacy 130 W Ravine Rd, Kingsport, TN 37660-3837 2005-05-27
1316191349 Medical Mall Pharmacy Inc Pharmacy 105 W Stone Dr, Suite 1-b, Kingsport, TN 37660-3256 2008-11-04

Office Location

Street Address 1 MEDICAL PARK BLVD
SUITE 106-E
City BRISTOL
State TN
Zip Code 37620-7430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225640980 Amanda Marshall Registered Nurse 1 Medical Park Blvd, Bristol, TN 37620-7453 2020-08-23
1336764406 Maggie Mullins Registered Nurse 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-06-14
1578188249 Angela Dawn Owens Pharmacist 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-06-09
1528683133 Jessica Dawn Anderson Registered Nurse 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-06-09
1659904837 Sarah Elizabeth Smith Nurse Anesthetist, Certified Registered 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-02-17
1063055762 Chelsea Newsome Nurse Practitioner 1 Medical Park Blvd, Bristol, TN 37620-7430 2019-10-25
1750943718 Sara Anne Mcglothlin Occupational Therapy Assistant 1 Medical Park Blvd, Bristol, TN 37620-7430 2019-06-30
1801355359 Aaron Allen Kelley Respiratory Therapist, Registered 1 Medical Park Blvd, Bristol, TN 37620-7430 2019-03-14
1164922076 Neha D Naik Pharmacist 1 Medical Park Blvd, Bristol, TN 37620-7430 2018-02-16
1386157378 Matthew S Lowe Registered Nurse 1 Medical Park Blvd, Bristol, TN 37620-7430 2017-11-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376180216 Firstep, LLC Psychiatry & Neurology 3183 W. State St., Suite 1201, Bristol, TN 37620 2019-12-10
1578047726 Amanda Harville Mcgrady Psychologist 105 Walnut Circle, Bristol, TN 37620 2018-09-23
1467932533 Teresa Mooney Nurse Practitioner 324 Leslie Ct, Bristol, TN 37620 2018-08-17
1992285308 Jeremy Aurbrey Blanzy Nurse Practitioner 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 2018-08-15
1255841805 Amanda L Pillion Audiologist 225 Midway Medical Park, Bristol, VA 37620 2017-10-10
1841717717 Joel Blevins Driver 301 Webb Ct, Bristol, TN 37620 2017-08-23
1831579796 Dr. Marie Crawford, Ph.d., Pllc Psychologist 739 Bluff City Highway, Suite 5, Bristol, TN 37620 2015-06-05
1508297169 Cassandra Marie Conry Chiropractor 800 Hill St., Bristol, TN 37620 2013-12-09
1780025874 Laura Leann Lawson-renfro Nurse Practitioner 260 Midway St, Bristol, TN 37620 2013-07-17
1760822365 Ricky Bhimani Internal Medicine 208 Medical Park Boulevard, Bristol, TN 37620 2013-06-27
Find all providers in zip 37620

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881150811 Wilson Pharmacy, Inc. Pharmacy 350 Blountville Hwy Ste 102, Bristol, TN 37620-1676 2019-02-14
1609346543 Bristol Discount Pharmacy Inc Pharmacy 247 Mill St, Bristol, PA 19007-4803 2018-12-04
1407950207 Rhode Island Cvs Pharmacy, L.L.C. Pharmacy 400 Metacom Ave, Bristol, RI 02809-5188 2006-09-12
1083717722 Virginia Cvs Pharmacy L L C Pharmacy 31 E Valley Dr, Bristol, VA 24201-2822 2006-09-07
1205939907 Tennessee Cvs Pharmacy LLC Pharmacy 3030 W State St, Bristol, TN 37620-1719 2006-09-07
1548363237 Tennessee Cvs Pharmacy, L.L.C. Pharmacy 1379 Volunteer Pkwy, Bristol, TN 37620-5709 2006-09-07
1568477529 Walgreen Co Pharmacy 1460 Lee Hwy, Bristol, VA 24201-2865 2006-07-29
1700805934 Professional Pharmaceutical Services, Inc. Pharmacy 1883 Euclid Ave, Bristol, VA 24201-3605 2006-07-19
1043243439 Pharmacy Investment Coordinators Inc Pharmacy 11049 Nw State Road 20, Bristol, FL 32321-6406 2006-07-08
1275133969 Bristol Health Pharmacy, LLC Pharmacy 41 Brewster Rd, Bristol, CT 06010-5161 2020-10-30
Find all providers in BRISTOL

Competitor

Search similar providers

City BRISTOL
Zip Code 37620

Improve Information

Please comment or provide details below to improve the information on MEDICAL MALL PHARMACY INC.

Dataset Information

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.

Trending Searches