BAPTIST MEMORIAL HOSPITAL (NPI# 1508334970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508334970 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL HOSPITAL |
| Other Organization Name | BMH ED PHARMACY |
| Practice Address |
6019 Walnut Grove Rd Concourse Ste A Memphis TN 38120-2131 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 9012263088 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | GREGORY M DUCKETT (SR VP/CLO) |
| Authorized Official Telephone | 9012275233 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL HEALTH CARE CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| BMH ED PHARMACY | Other Name - Individual/Organization |
| WALNUT GROVE PLAZA PHARMACY - MAIL ORDER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708257 | Baptist Memorial Hospital | Clinic/Center | 50 Humphreys Ctr Ste 23, Memphis, TN 38120-2369 | 2007-04-17 |
| 1275023095 | Baptist Memorial Hospital | General Acute Care Hospital | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2018-05-17 |
| 1366957623 | Baptist Memorial Hospital | Pharmacy | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2017-12-08 |
| 1861739385 | Baptist Memorial Hospital | Clinic/Center | 80 Humphreys Center Dr, Suite 200 A, Memphis, TN 38120-2353 | 2013-01-04 |
| 1881879401 | Baptist Memorial Hospital | Home Health | 5570 Murray Rd, Memphis, TN 38119-3805 | 2008-01-02 |
| 1649310038 | Baptist Memorial Hospital | Pharmacy | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2007-02-07 |
| 1497712335 | Baptist Memorial Hospital | Skilled Nursing Facility | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2006-04-26 |
| 1578527172 | Baptist Memorial Hospital | General Acute Care Hospital | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2006-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BAPTIST MEMORIAL HOSPITAL - CRITTENDEN, INC. | 2100 N 7th St, West Memphis, AR 72301-2017 |
| System for Award Management (SAM) Entities | BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI, INC. | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Street Address |
6019 WALNUT GROVE RD CONCOURSE STE A |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738128 | Alka Kamo | Internal Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2005-05-24 |
| 1134728512 | Josh Randall Miller | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-18 |
| 1689272551 | Bryant Jerel Meeks | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-13 |
| 1831796614 | Victoria Elise Blackmon | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-05 |
| 1134736499 | Zachary Aaron Ortiz | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-30 |
| 1306453345 | Erin Bomar | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-24 |
| 1215546262 | Vickie Pitman | Nurse Practitioner | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-27 |
| 1417574609 | Taylor Money-williams | Pharmacist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-03 |
| 1730702861 | Michael Jason Hackett | Nurse Anesthetist, Certified Registered | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-23 |
| 1487276895 | Jayson Powell | Perfusionist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| 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 | ||||
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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.