Mugford Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

568 Issued in TN

Legal business name

MUGFORD PHARMACY INC.

Practice address

3909 Martin Mill Pike
Knoxville, TN 37920-2456

Phone

(865) 577-5533

Fax

(865) 577-9959

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Duban

Title

Sectary

Phone

(865) 577-5533

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1912049503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 MARTIN MILL PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202456",
            "telephone_number": "865-577-5533",
            "fax_number": "865-577-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 MARTIN MILL PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202456",
            "telephone_number": "865-577-5533",
            "fax_number": "865-577-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUGFORD PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DUBAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECTARY",
        "authorized_official_telephone_number": "865-577-5533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4407943",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "568",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Rose Mudd, PA-C
• Christy Muecke, PEDORTHIST
• Kyle Mueller
• Renee Moore Mueller, D.PH.
• Jules Kitongo Mugemuzi, MD
• Jennifer Mugleston, MASTER OF ARTS
• Charity Muhs, COTA
• Laura F. Muir, CNM
• Alexandria Mullen
• Anastasia Marie Mullen

• Community/Retail Pharmacy in Knoxville, TN
• Providers in Knoxville, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.