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MEDI MART PHARMACY
NPI 1861407496
Pharmacy in Cleveland, TN

Active since July 30, 2006
5030 GEORGETOWN RD NW, CLEVELAND, TN 37312(423) 472-5548(423) 472-6400 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medi Mart Pharmacy NPPES

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

MEDI MART PHARMACY (NPI 1861407496) is a healthcare organization registered as a pharmacy in Cleveland, Tennessee and active in the NPI registry since July 2006. The organization lists Joe Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1861407496
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMEDI MART PHARMACY
Location Address5030 GEORGETOWN RD NWCleveland, TN 37312-1309
Mailing AddressPo Box 3240Cleveland, TN 37320-3240
Phone(423) 472-5548
Fax(423) 472-6400
Organization SubpartNo
Authorized OfficialJoe MooreOwner · (423) 476-7947
Enumeration DateJuly 30, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1861407496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TN · 0000000354
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 0000000354 (TN)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
5030 GEORGETOWN RD NW, Cleveland, TN 37312
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Other Identifiers 2

Other4439255Other Id Number-commercial Number
Medicare NSC5769740002TN

Other Providers at the Same Location NPPES

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

DR. SOPHIA M RODIER MD
Family Medicine
5030 GEORGETOWN RD NW
CLEVELAND, TN 37312
Bradley County (423) 303-2525

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 Medi Mart Pharmacy's NPI number?

The NPI number for Medi Mart Pharmacy is 1861407496. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Medi Mart Pharmacy located?

Medi Mart Pharmacy is located at 5030 Georgetown Rd NW, Cleveland, TN 37312. The listed phone number is (423) 472-5548.

What is Medi Mart Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Medi Mart Pharmacy was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.