OrganizationActive
Medical Mall Pharmacy Inc
NPI 1275536997 · Community/Retail Pharmacy · Kingsport, TN
Medical Mall Pharmacy Inc is a Community/Retail Pharmacy organization in Kingsport, TN (NPI 1275536997).
Provider details
- NPI number
- 1275536997
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kristine Hagee, Pharmacy Systems Analyst(423) 230-8432
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-6860
Fax: (423) 224-5654
Street-level locationGet directions
Mailing address
130 W Ravine Rd
Kingsport, TN 37660-3837
Other names (DBA / former)
- Doing business as
- Wellmont Outpatient Pharmacy
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2009-12-03
Frequently asked questions
- What is Medical Mall Pharmacy Inc's NPI number?
- Medical Mall Pharmacy Inc's National Provider Identifier (NPI) is 1275536997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Mall Pharmacy Inc?
- Medical Mall Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Medical Mall Pharmacy Inc located?
- Medical Mall Pharmacy Inc's practice location on file with NPPES is 130 W Ravine Rd, Kingsport, TN 37660-3837.
- What is Medical Mall Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Medical Mall Pharmacy Inc is (423) 224-6860.
- Who is the authorized official for Medical Mall Pharmacy Inc?
- The authorized official listed on Medical Mall Pharmacy Inc's NPPES record is Kristine Hagee, Pharmacy Systems Analyst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Mall Pharmacy Inc's NPI active?
- Yes — Medical Mall Pharmacy Inc's NPI (1275536997) is active in the NPPES registry as of the last update on 2009-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.