Mac'S Pharmacy 2

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

611 Issued in TN

Legal business name

MAC'S PHARMACY 2

Practice address

643 Edgemoor Rd
Powell, TN 37849-7146

Phone

(865) 945-3333

Fax

(865) 945-3449

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Michael Wilhoit, PHRMDNPI 1043454598

Title

Vice President

Phone

(865) 945-3333

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• MAC'S EDGEMOOR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Macs Pharmacy#2

  • Long Term Care Pharmacy
  • Powell, TN
  • NPI 1346510708

  O20140415000669

  Same enrollment

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Scott Wilhoit, PHARM.D.

  • Pharmacist
  • Powell, TN
  • NPI 1043454598
  NPD (past) Authorized official
• Melissa Blackburn

  • Pharmacist
  • Knoxville, TN
  • NPI 1467055913
  NPD
• Christopher Morgan Honeycutt, PHARMD

  • Pharmacist
  • Powell, TN
  • NPI 1306103528
  NPD (past)
• Charles Michael Jenkins, DPH

  • Pharmacist
  • Powell, TN
  • NPI 1841315041
  NPD (past)
• Jamie Lois Price, PHARMD.

  • Pharmacist
  • Knoxville, TN
  • NPI 1124450739
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1982621959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 EDGEMOOR RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378497146",
            "telephone_number": "865-945-3333",
            "fax_number": "865-945-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 EDGEMOOR RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378497146",
            "telephone_number": "865-945-3333",
            "fax_number": "865-945-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC'S PHARMACY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "WILHOIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-945-3333",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "611",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAC'S EDGEMOOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle D Lindholm, PMHNP
• James D Linz, DPT
• Jennifer Faverty Lo, NP
• Stephen P Lorino, MD
• Keri Noel Lynch, FNP-BC
• Macs Pharmacy#2
• Magnolia Harbor Carefarm
• Main Health Collective PLLC
• Zachery Main, DC
• Phyllis Ramona Major, BSN

• Community/Retail Pharmacy in Powell, TN
• Providers in Powell, 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 Jan 17, 2017; 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.