Provider Demographics
NPI:1962672980
Name:MCBEE, MARTHA KAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:KAY
Last Name:MCBEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 CHIPPENDALE SQ
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3494
Mailing Address - Country:US
Mailing Address - Phone:615-373-2445
Mailing Address - Fax:
Practice Address - Street 1:148 CHIPPENDALE SQ
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3494
Practice Address - Country:US
Practice Address - Phone:615-373-2445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN18OtherPHARMACIST