Ingles Markets Inc
Organization Active NPI Community/Retail Pharmacy · Lenoir City, TN
NPI 1922454529 · NPPES record last updated Aug 14, 2019
Key facts
- NPI
- 1922454529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 00005786 (TN)
- Legal business name
- INGLES MARKETS INC
- Practice address
- 404 Highway 321 N
Lenoir City, TN 37771-2065 - Phone
- (865) 986-0947
- Fax
- (865) 986-0413
- NPI assigned
- May 12, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen V Cucchi, RPH
- Title
- VP of Pharmacy
- Phone
- (828) 669-2941
Other NPIs on the same Medicare enrollment 10
Practitioners 1
-
Stacey Shook, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ingles Pharmacy #071 |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090914000457 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092867614 |
10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jonesborough, TN; Powell, TN; Morristown, TN; Lenoir City, TN; Knoxville, TN; Kingsport, TN; Johnson City, TN; Greeneville, TN… |
| O20160809003179 | TN | DME Supplier - Pharmacy | 5092867614 | Practice locations: Lenoir City, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 00005786 | TN | Yes |
Addresses
Primary practice location
404 Highway 321 N
Lenoir City, TN 37771-2065
Mailing address
PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-2941
Other names
- Ingles Pharmacy #071
Other providers in Lenoir City, TN
- Haleigh Hunter
- Amir Ali A Hussaini
- Heather McCoy Hutchings
- Jonathan Hutchings
- Independent Physical Therapy LLC
- Innovative Vascular, PLLC
- Jennifer Marie Isaacs
- Ivan N Cooper, DPM, PC
- Jodi Lynn Jagodzinski
- Aliyah Jenkins
All providers in Lenoir City, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.