Healthcare Provider Details

I. General information

NPI: 1588636377
Provider Name (Legal Business Name): MARCROMS PHARMACY, P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1277 MCARTHUR ST
MANCHESTER TN
37355-2423
US

IV. Provider business mailing address

1277 MCARTHUR ST
MANCHESTER TN
37355-2423
US

V. Phone/Fax

Practice location:
  • Phone: 931-728-1100
  • Fax: 931-723-4137
Mailing address:
  • Phone: 931-728-1100
  • Fax: 931-723-4137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number243
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOE MCKAMEY
Title or Position: PRESIDENT
Credential:
Phone: 931-728-1100