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Medical Mall Pharmacy Inc

Community/Retail Pharmacy in Bristol, TN · enumerated 2005 · authorized official Kristine Hagee, Pharmacy Systems Analyst.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598768699

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Mall Pharmacy Inc
Other name <Unavail>
Practice address 1 Medical Park Blvd, Suite 106-E, Bristol, TN, 37620
Fax (423) 844-2891
Enumeration date May 23, 2005
Last updated in NPPES Apr 30, 2009

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 2964 (TN) Primary

Authorized official

Name Kristine Hagee
Title Pharmacy Systems Analyst

Other identifiers

Identifier Type State Issuer
008503257 Medicaid TN -
4428719 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Medical Mall Pharmacy Inc?
NPPES lists Kristine Hagee (Pharmacy Systems Analyst) as the authorized official for this organization.
What is the NPI number for Medical Mall Pharmacy Inc?
The NPI for Medical Mall Pharmacy Inc is 1598768699, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-30.