SHELBY COUNTY HEALTH CARE CORPORATION (NPI# 1245603620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245603620 |
| Entity Type | Organization |
| Organization Name | SHELBY COUNTY HEALTH CARE CORPORATION |
| Other Organization Name | REGIONAL ONE HEALTH EAST |
| Practice Address |
6555 Quince Rd Attention: Pharmacy Memphis TN 38119-8202 |
| Mailing Address |
Dept 413 P.o. Box 1000 Memphis TN 38148-0413 |
| Practice Telephone | 9015155656 |
| Practice Fax Number | 9015457351 |
| Mailing Telephone | 9015155656 |
| Mailing Fax Number | 9015155659 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | KAY RYAN (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9015457840 |
| Authorized Official Credential | RPH |
| 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 |
00005689 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155245 | 01 |
| Other Name | Type Code |
|---|---|
| Regional One Health East | 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 |
| 1932725611 | Shelby County Health Care Corporation | Pharmacy | 1588 Union Ave, Memphis, TN 38104-3729 | 2020-06-18 |
| 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 |
| 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 |
6555 QUINCE RD ATTENTION: PHARMACY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114984069 | John M Norwood | Internal Medicine | 6555 Quince Rd, Memphis, TN 38119-8202 | 2006-04-26 |
| 1194233643 | Matthew Clark Wilson | Pharmacist | 6555 Quince Rd, Memphis, TN 38119-8202 | 2018-01-18 |
| 1780056713 | Drew Alan Tucker | Physical Therapist | 6555 Quince Rd, Memphis, TN 38119-8202 | 2015-10-29 |
| 1245633304 | Elizabeth Schriner | Physician Assistant | 6555 Quince Rd, Memphis, TN 38119-8202 | 2014-10-03 |
| 1255679270 | Amanda Milner Best | Nurse Practitioner | 6555 Quince Rd, Memphis, TN 38119-8202 | 2013-01-25 |
| 1730380304 | Christopher K Ledbetter | Urology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2007-05-30 |
| 1861615627 | Adio Ishmael Abdu | Obstetrics & Gynecology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2007-04-10 |
| 1619042462 | Laura Detti | Obstetrics & Gynecology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2006-11-21 |
| 1982661088 | Robert W Wake | Urology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2006-05-01 |
| 1730147877 | Anthony Lynn Patterson | Urology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on SHELBY COUNTY HEALTH CARE CORPORATION.
| 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.