


As a pharmacy operator who takes a hands-on, practical approach to solving real operational challenges. I focus on cost savings, automation, and workflow improvements that actually make an impact day to day. No rigid agreements, everything is flexible and tailored to what you need. Whether short-term or ongoing, I step in to help put the right pieces together and drive results.

Helping pharmacies improve efficiency, streamline workflows, and get more out of their existing space. From staffing and layout to equipment and process flow, I focus on optimizing what’s already there before recommending expansion. The goal is to eliminate bottlenecks, increase output, and create systems that can scale. Everything is built around real-world operations, not theory.

Specializing in supporting high-volume pharmacy operations and telemedicine-driven growth. I help bridge the gap between prescribing platforms and pharmacy fulfillment to ensure smooth, scalable operations. This includes workflow design, automation, and shipping strategies to keep up with demand. The focus is on building systems that can handle rapid growth without breaking.

I work closely with a network of experienced field sales representatives and trusted telemedicine platforms to help pharmacies expand their reach and grow strategically. Beyond connections, I help guide pharmacies in building competitive, innovative marketing approaches that position their product lines effectively. The focus is on creating real value that differentiates your pharmacy in a crowded and evolving market.

Helping pharmacies reduce costs by implementing shipping strategies that actually work in real-world operations. You’d be surprised how small changes in packaging, carrier selection, and process can lead to major savings in both cost and time. I work hands-on to optimize these areas and can provide sample kits to show exactly how it would function within your workflow.

I connect pharmacies with established, vetted vendors that have been proven in real operations over time. In an industry where new companies pop up daily, we focus on partners you can trust and stand behind. From packaging and APIs to vials, ice, and custom solutions, we help ensure every piece of your supply chain meets quality and compliance standards.

Sterile operations require the right people, not just the right plan. I work with experienced pharmacists and sterile technicians to develop formulas, build product lines, and support day-to-day operations. With the ability to offer onsite tech support for training or coverage, with flexibility to travel when needed.

When each pharmacy focuses on its niche and strengths, it creates more opportunity for everyone to grow. Through years of operating across different pharmacy models, along with experience in sales and marketing, I’ve built a network of operators, vendors, and partners who bring real value to the table. This isn’t just consulting. It’s access to a collective group that shares insight, solves problems faster, and helps each other scale in a smarter, more efficient way.

Hi, I’m Madison Mayes, founder of 503 Tribe Pharmacy Consulting. I got my start in pharmacy over 14 years ago in sales and marketing, where I quickly saw how often operations would struggle when the pharmacy experienced growth. That naturally pushed me deeper into the operational side, learning how to bridge the gap between sales and execution and understanding where things tend to break down.
As the cash-pay and telemedicine space expanded over the past few years, I shifted heavily into high-volume fulfillment models, specifically focused on helping pharmacies scale within smaller, more efficient footprints. I’ve worked with pharmacies doing a few hundred prescriptions a day and helped scale them into the thousands, in some cases reaching 3,000–4,000+ prescriptions daily within a few weeks. On the larger side I have built operations handling up to 8,000-10,000 prescriptions per day in under 6 months.
Today, I work closely with pharmacy owners and teams to evaluate their current space, workflow, and overall operation to identify what’s holding them back. My focus is on building smarter systems that increase volume, improve efficiency, and maximize the space you already have, without always defaulting to expansion. I take a hands-on approach, working directly alongside inside and outside staff so I can understand real day-to-day challenges and implement solutions that actually stick.
I’m not a pharmacist, and I don’t try to be, I partner closely with pharmacists and respect the clinical side of the business. My role is to support the operational, strategic, and logistical pieces in a way that aligns ownership, management, and clinical teams to move the business forward together.
Madison Mayes Office (940) 326-5030 Cell (214) 542-5724 madison@503tribe.com Based in Dallas, Texas | Travel Available Nationwide
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