SOUTHMED LLC (NPI# 1023146941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023146941 |
| Entity Type | Organization |
| Organization Name | SOUTHMED LLC |
| Other Organization Name | MEDICAP PHARMACY LTC |
| Practice Address |
2435 Whitten Rd Ste 102 Memphis TN 38133-4715 |
| Practice Telephone | 9013772225 |
| Practice Fax Number | 9013777992 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | LISA TIMBERLAND (OWNER PHARMACIST) |
| Authorized Official Telephone | 9013772225 |
| Authorized Official Credential | PHRM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
4367 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4440094 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICAP PHARMACY LTC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407928203 | Southmed LLC | Pharmacy | 2435 Whitten Rd, Suite 101, Memphis, TN 38133-4715 | 2006-11-15 |
| Street Address |
2435 WHITTEN RD STE 102 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38133-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407928203 | Southmed LLC | Pharmacy | 2435 Whitten Rd, Suite 101, Memphis, TN 38133-4715 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225342108 | Tri-med Pharmacy LLC | Pharmacy | 2565 Horizon Lake Dr Ste 113, Memphis, TN 38133-8113 | 2010-08-03 |
| 1437163466 | Ncs Healthcare of Tennessee, LLC | Pharmacy | 5055 Covington Way, Suite 6, Memphis, TN 38134-5699 | 2006-07-27 |
| 1043788250 | Scotland County Pharmacy Inc | Pharmacy | 445 E Grand Ave, Memphis, MO 63555 | 2018-11-06 |
| 1891141990 | Smidi Drugs Inc | Pharmacy | 80850 Main St, Memphis, MI 48041-4907 | 2016-05-06 |
| 1063693067 | First Pharmacy Services of Tennessee LLC | Pharmacy | 1087 Alice Ave, Memphis, TN 38106-6543 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.