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JEFF CITY PHARMACIST GROUP LLC DBA MD PHARMACY STORE 2
NPI 1073979522
Pharmacy in Jefferson City, TN

Active since January 13, 2016
657 E BROADWAY BLVD, JEFFERSON CITY, TN 37760(865) 262-9777(865) 262-9778 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2020, Jan 12, 2019, Jun 22, 2016 and 2 more (5 updates tracked since 2016).

About Jeff City Pharmacist Group Llc Dba Md Pharmacy Store 2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFF CITY PHARMACIST GROUP LLC DBA MD PHARMACY STORE 2 (NPI 1073979522), doing business as Bunch Medical, Llc Dba Md Pharmacy Store 2, is a healthcare organization registered as a pharmacy in Jefferson City, Tennessee and active in the NPI registry since January 2016. The organization lists Joshua R Blake, Pic, as its authorized official.

NPPES Registry Identity

NPI1073979522
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameJEFF CITY PHARMACIST GROUP LLC DBA MD PHARMACY STORE 2
Location Address657 E BROADWAY BLVDJefferson City, TN 37760
Mailing Address657 E Broadway BlvdJefferson City, TN 37760 · (865) 262-9777 · Fax (865) 262-9778
Phone(865) 262-9777
Fax(865) 262-9778
Organization SubpartNo
Authorized OfficialJoshua R BlakePic · (865) 262-9777
Enumeration DateJanuary 13, 2016
Last NPPES UpdateMay 28, 20205 updates tracked since enumeration
NPPES CertifiedMay 28, 2020
✔ NPI 1073979522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 5720 (TN)
657 E BROADWAY BLVD, Jefferson City, TN 37760
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Other Names 2

Former Legal Business NameBunch Medical, Llc Dba Md Pharmacy Store 2
Doing Business AsM.d. Pharmacy Store 2

Other Identifiers 2

MedicaidQ033187TN
Other2157383Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANNETTE SHEHAN APN
Nurse Practitioner
657 E BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9062
DR. STEVEN TODD SHEEDLO MD
Family Medicine
657 E BROADWAY BLVD, STE. C
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9062
MOUNTAIN VIEW PEDIATRICS AND INTERNAL MEDICINE
Clinic/Center
657 E BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (423) 587-7333
DENNIS M KLEIN DO
Family Medicine
657 E BROADWAY BLVD, HEALTHSTAR PHYSICIANS STE C
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9062
AQUEEL M KOUSER MD
Internal Medicine (Rheumatology)
657 E BROADWAY BLVD, SUITE C
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9062
MS. PATRICIA ANNETTE WADDELL FNP
Nurse Practitioner (Family)
657 E BROADWAY BLVD, SUITE C
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9062
PARIS BATH
Nurse Practitioner (Family)
657 E BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9062
OPTIMUS HEALTH CENTER, INC.
Physical Therapist
657 E BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-3101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2's NPI number?

The NPI number for Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 is 1073979522. It was assigned to this organization in the NPPES registry on January 13, 2016. The provider is doing business as M.D. Pharmacy Store 2. The provider was formerly known as Bunch Medical, LLC Dba MD Pharmacy Store 2.

Where is Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 located?

Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 is located at 657 E Broadway Blvd, Jefferson City, TN 37760. The listed phone number is (865) 262-9777.

What is Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 accept?

Health plans from Medica and Moda Health Plan, Inc. list Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.