METHODIST HEALTHCARE - MEMPHIS HOSPITALS (NPI# 1801819818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801819818 |
| Entity Type | Organization |
| Organization Name | METHODIST HEALTHCARE - MEMPHIS HOSPITALS |
| Other Organization Name | METHODIST HOSPITAL OP PHARMACY |
| Practice Address |
1265 Union Ave Memphis TN 38104 |
| Mailing Address |
1265 Union Ave Memphis TN 38104-3415 |
| Practice Telephone | 9015168168 |
| Practice Fax Number | 9015168397 |
| Mailing Telephone | 9015168168 |
| Mailing Fax Number | 9015168397 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | CHARLES LANE (EXECUTIVE VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 9014780525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
1777 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1777 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2088270 | 01 | |
| TN | 4412160 | 05 |
| Other Name | Type Code |
|---|---|
| METHODIST HOSPITAL OP PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649654450 | Methodist Healthcare - Memphis Hospitals | General Acute Care Hospital | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2015-07-13 |
| 1245383355 | Methodist Healthcare - Memphis Hospitals | Clinic/Center | 50 N Dunlap St, Memphis, TN 38103-2800 | 2007-01-19 |
| 1386709871 | Methodist Healthcare - Memphis Hospitals | General Acute Care Hospital | 848 Adams Ave, Memphis, TN 38103-2816 | 2006-12-26 |
| 1598829442 | Methodist Healthcare - Memphis Hospitals | Psychiatric Unit | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2006-12-21 |
| 1528146867 | Methodist Healthcare - Memphis Hospitals | Internal Medicine | 1325 Eastmoreland Ave, Suite 101, Memphis, TN 38104-3519 | 2006-11-02 |
| 1821173378 | Methodist Healthcare - Memphis Hospitals | Skilled Nursing Facility | 1265 Union Ave, Memphis, TN 38104-3415 | 2006-10-25 |
| 1558365890 | Methodist Healthcare - Memphis Hospitals | General Acute Care Hospital | 1265 Union Ave, Memphis, TN 38104-3415 | 2005-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Methodist Healthcare - Memphis Hospitals | 1265 Union Avenue, Memphis, TN 38104-3415 |
| Street Address |
1265 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304107 | David P Fang | Radiology | 1265 Union Ave, Memphis, TN 38104-3415 | 2005-05-23 |
| 1467069369 | Melissa Madolyn Morgan | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-09-25 |
| 1306459516 | Vladyslava Inman | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-26 |
| 1073126553 | Katherine Ann Palo | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-25 |
| 1194335729 | Britney Michelle Holton | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-07 |
| 1568082394 | Joan Danelle Morris | Dietitian, Registered | 1265 Union Ave, 4th Floor, Shorb Tower, Memphis, TN 38104 | 2020-04-22 |
| 1255950648 | Liza Southerton | Dietitian, Registered | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-04-15 |
| 1306465711 | Andrew Tutor | Student in an Organized Health Care Education/Training Program | 1265 Union Ave, Thomas Wing, 7th Floor, Rm 707, Memphis, TN 38104 | 2020-04-15 |
| 1275152761 | Jessica Galtelli | Dietitian, Registered | 1265 Union Ave, 612 Thomas, Nutrition Dept, Memphis, TN 38104 | 2020-04-14 |
| 1932728029 | Allison Elizabeth Bray | Dietitian, Registered | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-04-09 |
| Find all providers in the same location | ||||
| 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 Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| 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 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 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 |
| Find all providers in MEMPHIS | ||||
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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.