Randal Scott Jenkins, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

7637 Issued in TN

Practice address

1612 E Lamar Alexander Pkwy
Maryville, TN 37804-6206

Phone

(865) 982-4989

Fax

(865) 977-4263

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mac'S Pharmacy at Brown'S Creek, LLC

  • Community/Retail Pharmacy
  • Maryville, TN
  • NPI 1205933140
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104858828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 RIVER RUN DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043894",
            "telephone_number": "865-982-4989",
            "fax_number": "865-977-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046206",
            "telephone_number": "865-982-4989",
            "fax_number": "865-977-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RANDAL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "7637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor James Jarrell, D.D.S.
• Reed Jarvis, DC
• Sirisha Jasti, MD
• Jeffrey D. Greenwood, M.D. P. C.
• Jeffrey J. Eberting DMD, M.S. PC
• Tricia Shudan Jenkins, COTA/L
• Lindsey L Jennings
• Jennifer Couch Jeter, BA
• Brent Alan Johns, DC
• Annalysa M Johnson, D.O.

• Pharmacist in Maryville, TN
• Providers in Maryville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.