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Petmart Pharmacy, LLC

NPI 1548606403ActiveOrganization· Pharmacy, Mail Order Pharmacy· Maryville, TN

Pharmacy, Mail Order Pharmacy in Maryville, Tennessee, registered in NPPES in May 2013. The authorized official on file is Emily Abbott, PHARM.D., Pharmacis In Charge.

Overview

NPI1548606403
StatusActive
Entity typeOrganization
NPI issuedMay 20, 2013
Last updated in NPPESMay 10, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Mail Order Pharmacy Primary3336M0002X4885TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years