GOOD SHEPHERD MEDICATION MANAGEMENT


Address: 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115
Phone: 9019213039

GOOD SHEPHERD MEDICATION MANAGEMENT (NPI# 1104207166) 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) 1104207166
Entity Type Organization
Organization Name GOOD SHEPHERD MEDICATION MANAGEMENT
Practice Address 6052 Hickory Ridge Mall Ste 148
Memphis
TN 38115
Mailing Address 2166 Cuba Millington Road
Millington
TN 38053
Practice Telephone 9019213039
Mailing Telephone 9019213039
Enumeration Date 2015-06-16
Last Update Date 2015-06-16
Authorized Official Name PHIL BAKER (CEO)
Authorized Official Telephone 9019213039
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5579 TN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TN TENNESSEE BOARD OF PHARMACY 5579 01

Office Location

Street Address 6052 HICKORY RIDGE MALL STE 148
City MEMPHIS
State TN
Zip Code 38115

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891315370 Janell Lennice C Jackson Pharmacist 3670 Riverdale Road, Memphis, TN 38115 2020-04-24
1982246393 A.y Nunley Technician 5614 Crepe Myrtle Drive, Memphis, TN 38115 2019-10-17
1114580776 Dee's Around The Clock Home Health Aide 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 2019-04-19
1679047476 Demetria S Summers Home Health 6099 Appletree, Suite35, Memphis, TN 38115 2019-01-15
1134698590 Patriot Healthcare of Tennessee, LLC Family Medicine 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 2018-11-15
1891293106 Decrese A Beverly Counselor 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 2018-02-01
1720597289 Frank A Taylor Jr. Nutritionist 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 2017-09-27
1255717260 Mary L Avery Social Worker 5563 Knight Arnold Rd., Memphis, TN 38115 2015-08-03
1265811665 Good Shepherd Health Pharmacy 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 2015-05-19
1720408180 Family Center of Wellness Community Health Worker 6094 Apple Tree Drive, Suite 5, Memphis, TN 38115 2014-04-23
Find all providers in zip 38115

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366069965 Plaza Pharmacy LLC Pharmacy 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 2020-06-30
1699398602 Walgreen Co Pharmacy 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 2020-05-26
1740831072 Avita Drugs Tennessee, LLC Pharmacy 806 S Cooper St Ste A, Memphis, TN 38104-5406 2019-09-27
1619536570 A Transition To Independence Pharmacy 2778 Treasure Island Dr E, Memphis, TN 38115-1707 2019-06-13
1992248702 Anovorx Group LLC Pharmacy 1710 Shelby Oaks Dr N Ste 5, Memphis, TN 38134-7403 2016-11-28
1710372214 Getwell Pharmacy LLC Pharmacy 3960 Knight Arnold Rd Ste 112, Memphis, TN 38118-3001 2015-04-01
1518397199 Freds Stores of Tennessee Inc Pharmacy 1290 Lamar Ave, Memphis, TN 38104 2013-11-19
1073946091 Quality Rx Compounding LLC Pharmacy 920 Estate Dr Ste 8, Memphis, TN 38119-3608 2013-08-13
1417209016 Freds Stores of Tennessee Inc Pharmacy 7965 E Shelby Dr, Memphis, TN 38125-3755 2012-10-05
1780934281 Freds Stores of Tennessee Inc Pharmacy 7143 Winchester Rd, Memphis, TN 38125 2012-09-12
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38115

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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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