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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5579 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | TENNESSEE BOARD OF PHARMACY | 5579 | 01 |
Street Address |
6052 HICKORY RIDGE MALL STE 148 |
City | MEMPHIS |
State | TN |
Zip Code | 38115 |
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 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 |
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 |
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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.