JKBC Wolf Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3583 Issued in TN

Legal business name

JKBC WOLF INC

Doing business as

MADISON AVENUE PHARMACY

Practice address

1001 W Madison Ave
Athens, TN 37303-3433

Phone

(423) 746-2626

Fax

(423) 746-2624

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Jeffry H Wolfenden, RPH

Title

President

Phone

(423) 746-2626

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MADISON AVENUE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TN4 enrollments

Enrollment records 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Madison Avenue Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JKBC Wolf Inc

  • Long Term Care Pharmacy
  • Athens, TN
  • NPI 1487492161
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Miklyn Huskey, PHARMD

  • Pharmacist
  • Athens, TN
  • NPI 1942714688
  NPD (past)
• Drew M McClendon, PHARMD

  • Pharmacist
  • Chattanooga, TN
  • NPI 1932760014
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1144358466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373711187",
            "telephone_number": "423-746-2626",
            "fax_number": "423-746-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033433",
            "telephone_number": "423-746-2626",
            "fax_number": "423-746-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKBC WOLF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "WOLFENDEN",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-746-2626",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3583",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452528",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4434584",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON AVENUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Joseph Ivins, M.D.
• Darren R Jacob
• Mary Jamerson, FNP-C
• James L Carter III
• Lisa U Jarvis, LPC
• JKBC Wolf Inc
• Johnnie C. Carter, MD
• Jordan Seth Johns
• Alexandra Johnson, PT, DPT
• Landis Jermaine Johnson

• Community/Retail Pharmacy in Athens, TN
• Providers in Athens, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.