Mac'S Medicine Mart, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2008 Issued in TN

Legal business name

MAC'S MEDICINE MART, INC

Practice address

1455 E Center St
Kingsport, TN 37664-2501

Phone

(423) 245-2181

Fax

(423) 245-7261

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barry Walton, D.PH.NPI 1457451965

Title

Managing Employee

Phone

(423) 245-2181

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

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

• Barry Walton, D.PH.

  • Pharmacist
  • Kingsport, TN
  • NPI 1457451965
  NPD Authorized official
• Barbara Lacey McManus, DPH

  • Pharmacist
  • Kingsport, TN
  • NPI 1134203524
  NPD (past)
• Phillip E McManus, D PH

  • Pharmacist
  • Kingsport, TN
  • NPI 1669679312
  NPD (past)
• Kevin Michael Smith, PHARMD

  • Pharmacist
  • Kingsport, TN
  • NPI 1972851095
  NPD (past)
• Jack Jeffrey Ward, PHARMD

  • Pharmacist
  • Kingsport, TN
  • NPI 1154625986
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1760580609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642501",
            "telephone_number": "423-245-2181",
            "fax_number": "423-245-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642501",
            "telephone_number": "423-245-2181",
            "fax_number": "423-245-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC'S MEDICINE MART, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "423-245-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0417510001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417510001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4424824",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Lundy, NP
• Luxottica of America Inc.
• Tara Nichole Lyall
• Marvin E Lymberis, M.D.
• Rebecca Jane Lyons
• Mac'S Medicine Mart, Inc
• Mac2, PLLC
• Kavita Macdonald-Strong
• Leslie M Macdonald, DPT
• John M Machen, DDS

• Community/Retail Pharmacy in Kingsport, TN
• Providers in Kingsport, 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 Aug 21, 2025; 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.