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MEDICAL MALL PHARMACY
NPI 1598768699
Pharmacy - Community/Retail Pharmacy in Bristol, TN

Active since May 23, 2005
1 MEDICAL PARK BLVD, SUITE 106-E, BRISTOL, TN 37620(423) 844-2888(423) 844-2891 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Mall Pharmacy NPPES

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

MEDICAL MALL PHARMACY (NPI 1598768699) is a healthcare organization registered as a community/retail pharmacy in Bristol, Tennessee and active in the NPI registry since May 2005. The organization lists Kristine Hagee, Pharmacy Systems Analyst, as its authorized official.

NPPES Registry Identity

NPI1598768699
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDICAL MALL PHARMACY INC
Location Address1 MEDICAL PARK BLVD, SUITE 106-EBristol, TN 37620-7430
Mailing Address1 Medical Park Blvd Ste 106Bristol, TN 37620-7430
Phone(423) 844-2888
Fax(423) 844-2891
Organization SubpartNo
Authorized OfficialKristine HageePharmacy Systems Analyst · (423) 230-8432
Enumeration DateMay 23, 2005
Last NPPES UpdateApril 30, 2009
✔ NPI 1598768699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 2964
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1 MEDICAL PARK BLVD, Bristol, TN 37620
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Other Names 1

Doing Business AsMedical Mall Pharmacy

Other Identifiers 3

Medicare NSC1185650001
Other4428719Ncpdp Provider Identification Number
Medicaid008503257TN

Other Providers at the Same Location NPPES 20

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

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. KARL E LAWRENCE M.D.
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220

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 Medical Mall Pharmacy Inc's NPI number?

The NPI number for Medical Mall Pharmacy Inc is 1598768699. It was assigned to this organization in the NPPES registry on May 23, 2005. The provider is doing business as Medical Mall Pharmacy.

Where is Medical Mall Pharmacy Inc located?

Medical Mall Pharmacy Inc is located at 1 Medical Park Blvd Suite 106-E, Bristol, TN 37620. The listed phone number is (423) 844-2888.

What is Medical Mall Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Medical Mall Pharmacy Inc was last updated on April 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.