Mac'S Medicine Mart, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MAC'S MEDICINE MART, INC

Doing business as

Unique Boutique

Practice address

1455 E Center St Ste 2B
Kingsport, TN 37664-2501

Phone

(423) 246-2646

Fax

(423) 765-9111

NPI assigned

Dec 16, 2018

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, DPHNPI 1457451965

Title

Owner/Pharmacist

Phone

(423) 245-2181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Unique Boutique Doing business as

Part of

Mac'S Medicine Mart Inc

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": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1841761947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E CENTER ST STE 2B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642501",
            "telephone_number": "423-246-2646",
            "fax_number": "423-765-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E CENTER ST STE 2B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642501",
            "telephone_number": "423-246-2646",
            "fax_number": "423-765-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC'S MEDICINE MART, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "423-245-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417510002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unique Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Jessica Mack-Gill, MD, MS

• Prosthetic/Orthotic Supplier in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.