MEDIPHARM INC.


Address: 295 S Bellevue Blvd, Suite # 3, Memphis, TN 38104-7517
Phone: 9017469631

MEDIPHARM INC. (NPI# 1033406111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033406111
Entity Type Organization
Organization Name MEDIPHARM INC.
Other Organization Name MEDIPHARM HEALTH CLINIC
Practice Address 295 S Bellevue Blvd
Suite # 3
Memphis
TN 38104-7517
Practice Telephone 9017469631
Practice Fax Number 9017919292
Mailing Telephone 9017469631
Mailing Fax Number 9017919292
Enumeration Date 2011-07-08
Last Update Date 2011-11-28
Authorized Official Name NYANDAY R. OTI (ADMINISTRATOR/CEO)
Authorized Official Telephone 9017469631
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246RP1900X Technician, Pathology
Specialization: Phlebotomy
44D2021574 TN Technologists, Technicians & Other Technical Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
APN 16134 TN Physician Assistants & Advanced Practice Nursing Providers
Y 207R00000X Internal Medicine MD7664 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN SPECIALTY PHARMACY 1780980631 01
TN RETAIL PHARMACY 1942476528 01

Other Provider/Organization Names

Other Name Type Code
MediPharm Health Clinic Doing Business As Name - Organization

Office Location

Street Address 295 S BELLEVUE BLVD
SUITE # 3
City MEMPHIS
State TN
Zip Code 38104-7517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235427139 Linden Bellevue Injury Clinic, LLC Physical Therapist 295 S Bellevue Blvd, Memphis, TN 38104-7517 2011-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
Find all providers in zip 38104

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427546415 Christopher Nelson Internal Medicine 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 2018-04-25
1356797898 Shwetapadma Sahu Internal Medicine 109 N Main St Apt 811, Memphis, TN 38103-5019 2016-05-13
1780030619 Lamia Aljundi Internal Medicine 956 Court Avenue Suite H316b, Memphis, TN 38163-2148 2016-05-10
1437513439 Highland Medical Corp Internal Medicine 3445 Poplar Ave Ste 13, Memphis, TN 38111-4667 2016-04-06
1760845994 Anthony Selase Sallar Internal Medicine 920 Madison Ave Ste 300a, Memphis, TN 38103-3472 2016-04-04
1306218235 Amp Medical Management, LLC Internal Medicine 1102 Brookfield Rd, Ste 102, Memphis, TN 38119-3826 2015-10-30
1245636596 Jiten P Kothadia Internal Medicine 1265 Union Avenue 4 Shorb Tower, Memphis, TN 38104-4418 2014-11-14
1841614252 Saurav Acharya Internal Medicine 956 Court Avenue G326 Coleman Building, Memphis, TN 38163-2857 2014-02-06
1396182705 John W Fowler Jr. Md Pllc Internal Medicine 184 Colonial Rd, Memphis, TN 38117-3206 2013-05-24
1497198865 Jeremy Scott Avila Internal Medicine 6799 Great Oaks Rd Ste 105, Memphis, TN 38138-2572 2013-04-16
Find all providers in MEMPHIS

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City MEMPHIS
Zip Code 38104

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Dataset Information

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.

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