CHRIST COMMUNITY HEALTH SERVICES INC (NPI# 1891837290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891837290 |
| Entity Type | Organization |
| Organization Name | CHRIST COMMUNITY HEALTH SERVICES INC |
| Other Organization Name | CHRIST COMM HEALTH SVS- BROAD AVE PHARMACY |
| Practice Address |
2861 Broad Ave Memphis TN 38112-2903 |
| Mailing Address |
2595 Central Ave Attn. Pharmacy Director Memphis TN 38104-5905 |
| Practice Telephone | 9012608475 |
| Practice Fax Number | 9012608476 |
| Mailing Telephone | 9012608500 |
| Mailing Fax Number | 9012608599 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | PAUL MAKRIS (CFO) |
| Authorized Official Telephone | 9017018500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4203 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3707256 | 05 | |
| PK | 2094727 | 01 |
| Other Name | Type Code |
|---|---|
| CHRIST COMM HEALTH SVS- Broad Ave Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053613851 | Christ Community Health Services Inc | Pharmacy | 5366 Winchester Rd, 5366 Mendenhall Mall, Memphis, TN 38115-4565 | 2010-11-30 |
| 1609030832 | Christ Community Health Services Inc | Clinic/Center | 2953 Broad Ave, Memphis, TN 38112-2957 | 2008-07-16 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1356749915 | Christ Community Health Services Inc | Pharmacy | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2014-12-15 |
| 1558797613 | Christ Community Health Services Inc | Pharmacy | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2013-09-20 |
| 1770863557 | Christ Community Health Services Inc | Clinic/Center | 2400 Poplar Ave, Memphis, TN 38112-3213 | 2011-08-24 |
| 1053572206 | Christ Community Health Services Inc | Clinic/Center | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2008-06-20 |
| 1407017650 | Christ Community Health Services Inc | Clinic/Center | 2569 Douglass Ave, Christ Community Health Services, Inc, Memphis, TN 38114-2532 | 2008-06-20 |
| 1982686614 | Christ Community Health Services Inc | Clinic/Center | 3362 S 3rd St, Memphis, TN 38109-2944 | 2005-11-17 |
| Street Address |
2861 BROAD AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38112-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932157260 | Brent Michael Snader | Internal Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2006-05-05 |
| 1013531276 | Anqi Zheng | Student in an Organized Health Care Education/Training Program | 2861 Broad Ave, Memphis, TN 38112-2903 | 2020-06-03 |
| 1730732645 | Joy Adina Steorts | Social Worker | 2861 Broad Ave, Memphis, TN 38112-2903 | 2019-07-19 |
| 1750879599 | Scott Chandler Stewart | Dentist | 2861 Broad Ave, Memphis, TN 38112-2903 | 2018-04-26 |
| 1952899973 | Mark Alan Dean | Dentist | 2861 Broad Ave, Memphis, TN 38112-2903 | 2018-04-25 |
| 1144609108 | Justine Rachel Johnson | Obstetrics & Gynecology | 2861 Broad Ave, Memphis, TN 38112-2903 | 2015-05-23 |
| 1629482419 | Benjamin Jones | Family Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2014-06-19 |
| 1245659309 | Brandon Todd | Internal Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2014-04-15 |
| 1972888352 | Heather Anne Stone | Nurse Practitioner | 2861 Broad Ave, Memphis, TN 38112-2903 | 2011-10-17 |
| 1659651487 | Jesse David Malott | Counselor | 2861 Broad Ave, Memphis, TN 38112-2903 | 2011-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
| 1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
| 1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
| 1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
| 1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
| 1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
| 1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
| Find all providers in zip 38112 | ||||
| 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] |
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| 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.