SHELBY COUNTY HEALTH CARE CORPORATION (NPI# 1932725611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932725611 |
| Entity Type | Organization |
| Organization Name | SHELBY COUNTY HEALTH CARE CORPORATION |
| Practice Address |
1588 Union Ave Memphis TN 38104-3729 |
| Mailing Address |
877 Jefferson Ave Memphis TN 38103-2807 |
| Practice Telephone | 9015457847 |
| Mailing Telephone | 9015457847 |
| Mailing Fax Number | 9015457557 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | MR. JAMES RICHARD WAGERS JR. (EVP AND CFO) |
| Authorized Official Telephone | 9015457676 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHELBY COUNTY HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Regional One Health Pharmacy Union Ave | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120281 | Shelby County Health Care Corporation | Pharmacy | 3111 Stage Post Dr Ste 102-104, Bartlett, TN 38133-4042 | 2019-08-20 |
| 1053393231 | Shelby County Health Care Corporation | Rehabilitation Hospital | 890 Madison Avenue, Memphis, TN 38103 | 2005-11-15 |
| 1629542493 | Shelby County Health Care Corporation | Pharmacy | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 | 2019-01-15 |
| 1316428410 | Shelby County Health Care Corporation | Pharmacy | 1977 S 3rd St, Memphis, TN 38109-7713 | 2018-08-27 |
| 1245603620 | Shelby County Health Care Corporation | Pharmacy | 6555 Quince Rd, Attention: Pharmacy, Memphis, TN 38119-8202 | 2015-11-05 |
| 1013313865 | Shelby County Health Care Corporation | Skilled Nursing Facility | 877 Jefferson Ave, 3rd Floor, Adams Pavilion, Memphis, TN 38103-2807 | 2014-11-06 |
| 1710959614 | Shelby County Health Care Corporation | Pharmacy | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2006-02-03 |
| 1780685750 | Shelby County Health Care Corporation | Clinic/Center | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2005-08-02 |
| Street Address |
1588 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326070277 | Jarvis D Reed | Internal Medicine | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-07-07 |
| 1275605636 | West Clinic PC | Specialist | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-11-14 |
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1972952976 | Dar Salud Care Pllc | Pharmacy | 1068 Cresthaven Rd, Suite 300, Memphis, TN 38119-0800 | 2016-06-09 |
| 1184801722 | Christ Community Health Services, Inc | Pharmacy | 3362 S 3rd St, Memphis, TN 38109-2944 | 2008-01-25 |
| 1285845750 | Memphis and Shelby County Health Department | Pharmacy | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-05-25 |
| 1063575165 | Southeast Mental Health Center, Inc | Pharmacy | 2579 Douglass Ave, Southeast Mental Health Center, Memphis, TN 38114-2532 | 2006-12-19 |
| 1164433710 | St Jude Children's Research Hospital, Inc. | Pharmacy | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2006-08-10 |
| 1033112230 | St Jude Childrens Research Hospital Inc | Pharmacy | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574332 | Rutherford County Primary Care | Pharmacy | 1701 N Main St Ste E, Shelbyville, TN 37160-2301 | 2020-10-06 |
| 1932764941 | Take Charge Nutrition, LLC | Pharmacy | 1690 25th St Nw Ste D, Cleveland, TN 37311-3613 | 2019-05-06 |
| 1922319383 | Advance Pharmacy Services Pllc | Pharmacy | 317 N Parkway Ste 400, Jackson, TN 38305-2713 | 2010-06-30 |
| 1902961113 | C Michael Jones Mdpc | Pharmacy | 7710 Wolf River Cir, Germantown, TN 38138-1734 | 2006-12-27 |
| 1194829150 | Clinic Pharmacy Inc | Pharmacy | 1 Hermitage Ave, Nashville, TN 37210-2109 | 2006-09-12 |
| 1437790375 | Nashville Pharmacy Services LLC | Pharmacy | 1925 Ailor Ave, Knoxville, TN 37921-5804 | 2019-10-02 |
| 1972015121 | Nashville Pharmacy Services LLC | Pharmacy | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2017-10-27 |
| 1154780716 | East Tennessee State University | Pharmacy | 2151 Century Ln, Johnson City, TN 37604-4469 | 2016-02-11 |
| 1871966499 | Hcchc Pharmacy | Pharmacy | 629 Nuckolls Rd, Suite A, Bolivar, TN 38008-1599 | 2015-11-04 |
| 1932352283 | Vanderbilt University Medical Center | Pharmacy | 719 Thompson Ln, Suite 24130, Nashville, TN 37204-3609 | 2008-10-30 |
| 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.