Hatmaker Family Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Andersonville, TN
NPI 1194803601 · NPPES record last updated Jan 25, 2021
Key facts
- NPI
- 1194803601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 3117 (TN)
- Legal business name
- HATMAKER FAMILY PHARMACY INC
- Practice address
- 3318 Andersonville Hwy
Andersonville, TN 37705-3816 - Phone
- (865) 494-8444
- Fax
- (865) 494-8402
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas Hunt
- Title
- Owner
- Phone
- (865) 494-8444
Practitioners 3
-
Keri Powell Galloway, PHARMD
-
Thomas Dewayne Hunt, DPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hatmaker Family Pharmacy Inc |
Epoetin|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930078894 | TN | DME Supplier - Pharmacy | 6406967561 | Practice locations: Andersonville, TN |
| O20210114001297 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406967561 | Practice locations: Andersonville, TN |
| O20210215001255 | TN | Part B Supplier - Pharmacy | 6406967561 | Practice locations: Andersonville, TN |
National Provider Directory
Locations
3318 Andersonville Hwy
Andersonville, TN 37705
Phone (865) 494-8444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 3117 | TN | Yes |
Addresses
Primary practice location
3318 Andersonville Hwy
Andersonville, TN 37705-3816
Mailing address
PO Box 933
Norris, TN 37828-0933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2092055 | Other | PK | |
| 3873440001 | Medicaid | TN |
Other names
- ANDERSON CROSSING PHARMACY
Other providers in Andersonville, TN
- Kandi Bailey
- Jessica Leanne Balzer
- Divinity Health Diagnostics,LLC
- Keri Powell Galloway
- Natalie Hamel
- Hometown Health PLLC
- Thomas Dewayne Hunt
- Jennifer Keim
- Whitney Lewis
- Beth Ann Martin
All providers in Andersonville, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.