Med Center Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1706 Issued in TN

Legal business name

MED CENTER PHARMACY LLC

Doing business as

Med Center Pharmacy LLC

Practice address

900 W Main St
Rogersville, TN 37857-2448

Phone

(423) 272-8104

Fax

(423) 272-0282

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

William Pack

Title

Owner and Pharmacist

Phone

(423) 272-8104

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MED CENTER PHARMACY LLC Doing business as

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1861585218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572448",
            "telephone_number": "423-272-8104",
            "fax_number": "423-272-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572448",
            "telephone_number": "423-272-8104",
            "fax_number": "423-272-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CENTER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "423-272-8104"
    },
    "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": "1706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED CENTER PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Lynn McGlothlin, PHARMD
• Jennifer Carlisle McKeown, ANP-BC
• Marissa Yvonne McKie, ATC,LAT
• Audrieona McLain
• Belinda Melisa McPeek, BS SOCIOLOGY
• Medical Services of America Inc (Medi Home Care)
• Connie Alvis Miller, R.N.
• Heather Campbell Mills, FNP-C
• David N Mooney, PHYSICAL THERAPIST
• Linda S Morelock, FNPC

• Community/Retail Pharmacy in Rogersville, TN
• Providers in Rogersville, 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 Feb 16, 2015; 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.