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INGLES MARKETS INC NPI 1720427180


NPI Information

NPI: 1720427180
Provider Name: INGLES MARKETS INC

Doing Business As: INGLES PHARMACY #372

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 44D2184853

Address:
4470 N ROAN ST
JOHNSON CITY, TN
ZIP 37615
Phone: (423) 282-0055
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INGLES MARKETS INC is a community/retail pharmacy pharmacy in Johnson City, TN. The provider is 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. INGLES MARKETS INC NPI is 1720427180. The provider is registered as an organization entity type.
The provider Is Doing Business As Ingles Pharmacy #372.

The provider's business location address is:

4470 N ROAN ST
JOHNSON CITY, TN
ZIP 37615-922
Phone: (423) 282-0055
Fax: (423) 282-0467

The provider's authorized official is Stephen V Cucchi .
The authorized official title is Vp Of Pharmacy and has the following contact phone number (828) 669-2941.

The CLIA number assigned to this NPI record is 44D2184853 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2013 and was last updated on 2/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy00005158TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14446072OTHERNCPDP
24446072MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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