Mark H Kolarsky

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000000123 Issued in TN

Legal business name

MARK H KOLARSKY

Doing business as

Family Pharmacy

Practice address

1025 Highway 93
Fall Branch, TN 37656-1844

Phone

(423) 348-6101

Fax

(423) 348-6716

NPI assigned

Sep 12, 2014

Last updated

Sep 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Hite

Title

Office Manager

Phone

(423) 348-6101

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Ferrington, PHARMD

  • Pharmacist
  • Fall Branch, TN
  • NPI 1841548484
  NPD
• Richard Crusenberry Jr., PHARM.D.

  • Pharmacist
  • Fall Branch, TN
  • NPI 1144579020
  NPD (past)
• Tina M Head, BS

  • Pharmacist
  • Fall Branch, TN
  • NPI 1932335908
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1790186401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HIGHWAY 93",
            "city": "FALL BRANCH",
            "state": "TN",
            "postal_code": "376561844",
            "telephone_number": "423-348-6101",
            "fax_number": "423-348-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HIGHWAY 93",
            "city": "FALL BRANCH",
            "state": "TN",
            "postal_code": "376561844",
            "telephone_number": "423-348-6101",
            "fax_number": "423-348-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H KOLARSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-348-6101"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790186401",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Ferrington, PHARMD
• Tina M Head, BS
• Marie Morley Herrmann, GNP
• Andrea R Hooper, FNP-BC
• Joseph Carter Johnston II, LPC-MHSP
• Megan Hope Morelock, FNP
• Hera S Pickering, PRIVATE CAREGIVER
• Rowan Enterprises Inc (Family Pharmacy)
• Nancy Katherine Strickler, LCSW

• Community/Retail Pharmacy in Fall Branch, TN
• Providers in Fall Branch, 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 Sep 25, 2020; 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.