Organization Active NPI

Macs Pharmacy#2

  • Long Term Care Pharmacy
  • Powell, TN
National Provider Identifier
1346510708
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
4972 Issued in TN
Legal business name
MACS PHARMACY#2
Practice address
643 Edgemoor Rd
Suite B
Powell, TN 37849-7146
Phone
(865) 945-3333
Fax
(865) 945-4158
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Dr. Michael Wilhoit, PHARM.D.NPI 1043454598
Title
President
Phone
(865) 945-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 4972 TN Primary

Addresses

Primary practice location

643 Edgemoor Rd
Suite B
Powell, TN 37849-7146

Mailing address

643 Edgemoor Rd
Suite B
Powell, TN 37849-7146
Phone (865) 945-4441

Other identifiers 1

IdentifierTypeStateIssuer
4972OtherTNSTATE OF TENNESSEE

Other names 1

  • Mac's Long Term Care Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140415000669 TN Part B Supplier - Mass Immunization (Roster Biller Only) 6709086317 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Powell, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

643 Edgemoor Rd
Ste B
Powell, TN 37849
Phone (865) 945-3333

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1346510708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 EDGEMOOR RD",
            "address_2": "SUITE B",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378497146",
            "telephone_number": "865-945-4441",
            "fax_number": "865-945-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 EDGEMOOR RD",
            "address_2": "SUITE B",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378497146",
            "telephone_number": "865-945-3333",
            "fax_number": "865-945-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACS PHARMACY#2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "WILHOIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-945-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "4972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE",
            "identifier": "4972",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mac's Long Term Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.