REBECCA FONG


Address: 1030 Jefferson Ave, Memphis, TN 38104-2127
Phone: 9015238990

REBECCA FONG (NPI# 1225655236) 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) 1225655236
Entity Type Individual
Full Name REBECCA FONG
Credential PHARMD
Practice Address 1030 Jefferson Ave
Memphis
TN 38104-2127
Mailing Address 1365 Harbor Park Dr
Memphis
TN 38103-9030
Practice Telephone 9015238990
Enumeration Date 2020-06-26
Last Update Date 2020-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 44193 TN Pharmacy Service Providers

Other Providers REBECCA FONG

NPI Name Taxonomy Address Enumeration
1700342193 Rebecca Yik Ming Fong Pharmacist 757 Westwood Plz, Los Angeles, CA 90095-8358 2019-02-11

Office Location

Street Address 1030 JEFFERSON AVE
City MEMPHIS
State TN
Zip Code 38104-2127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982697025 Katherine Denton Sanford Optometrist 1030 Jefferson Ave, Mail Code 112d, Memphis, TN 38104-2127 2005-08-24
1528667938 Mckenzie Bahl Recreation Therapist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-19
1427656834 Phillip David Resuggan Music Therapist 1030 Jefferson Ave, Memphis, TN 38104-2193 2020-10-16
1962009159 Rachel Diann Roberts Nurse Anesthetist, Certified Registered 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-01
1225643018 Melanie Warren Nurse Practitioner 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-09-09
1942828892 Brady Cole Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-08
1457978595 Mariko Thel Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-05
1215554910 Weston Paul Keen Pharmacy 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-29
1225653660 Brandy Hollums Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-11
1609490978 Julie Mabry Dietitian, Registered 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-03
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497366678 Punam Patel Pharmacist 3075 Lamar Ave, Memphis, TN 38114-6440 2020-08-12
1891315370 Janell Lennice C Jackson Pharmacist 3670 Riverdale Road, Memphis, TN 38115 2020-04-24
1952935322 Madison Ann Williams Pharmacist 1680 Century Center Pkwy Ste 15, Memphis, TN 38134-8827 2020-02-25
1558900290 Jiderechukwu Ugonna Anyigbo Pharmacist 232 Keel Ave, Memphis, TN 38107-3736 2019-12-28
1740823525 Erica Danielle Washington Pharmacist 6025 Walnut Grove Rd Ste 108, Memphis, TN 38120-2116 2019-10-23
1356983308 Olivia Brooks Wingate Pharmacist 8700 W Trail Lake Dr Ste 205, Memphis, TN 38125-8205 2019-10-11
1891266201 Sara Smigielski Pharmacist 5219 Sequoia Ave, Memphis, TN 38120-1544 2018-12-10
1104393313 Christine Ven Handy Pharmacist 4667 Flamingo Rd, Memphis, TN 38117-6111 2018-10-25
1821595026 Alan Carter Pharmacist 5293 Elvis Presley Blvd, Memphis, TN 38116-8233 2018-04-12
1104364728 Heather Mullins Pharmacist 6949 Appling Farms Pkwy Ste 109, Memphis, TN 38133-4731 2017-02-02
Find all providers in MEMPHIS

Competitor

Search similar providers

City MEMPHIS
Zip Code 38104

Improve Information

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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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