Sam A Mekkaoui, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

40505 Issued in TN

Practice address

7636 Middle Valley Rd
Hixson, TN 37343-2237

Phone

(423) 242-0622

NPI assigned

Jan 5, 2012

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #11160

  • Pharmacy
  • Ooltewah, TN
  • NPI 1841477569
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1790055838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 ANCHORAGE LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432567",
            "telephone_number": "404-784-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7636 MIDDLE VALLEY RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432237",
            "telephone_number": "423-242-0622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Shugart Rd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202433",
            "country_code": "US",
            "telephone_number": "706-271-2834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKKAOUI",
        "first_name": "SAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH029590",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "40505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Medearis, APN
• Medical Clinic 20/20, Inc
• Medicine Counter 01 Inc (Medicine Counter LTC Pharmacy)
• Medicine Counter 01 Inc (Medicine Counter)
• Medtech Enterprises
• Memorial Health Care System (Memorial Health Care Lifeline)
• Memorial Health Care System Inc. (Memorial Hospital Hixson)
• Michael C Mena, M.D.
• Teresa Merritt, RN,IBCLC
• Darlene Anthea Mew, LPC MHSP, LCMHC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Hixson, TN
• Providers in Hixson, TN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.