SHELBY COUNTY HEALTH CARE CORPORATION (NPI# 1710959614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710959614 |
| Entity Type | Organization |
| Organization Name | SHELBY COUNTY HEALTH CARE CORPORATION |
| Other Organization Name | REGIONAL ONE HEALTH |
| Practice Address |
877 Jefferson Ave Memphis TN 38103-2807 |
| Mailing Address |
877 Jefferson Ave Attention Outpatient Pharmacy Memphis TN 38103-2807 |
| Practice Telephone | 9015456299 |
| Practice Fax Number | 9015457557 |
| Mailing Telephone | 9015456299 |
| Mailing Fax Number | 9015457557 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | MARY KAY RYAN (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9015457847 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
744 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 100828407 | 05 | |
| MS | 0030231 | 05 | |
| PK | 2088380 | 01 | |
| NCPDP | 4413403 | 01 | |
| TN | Q032333 | 05 |
| Other Name | Type Code |
|---|---|
| Regional One Health | 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 |
| 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 |
| 1780685750 | Shelby County Health Care Corporation | Clinic/Center | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2005-08-02 |
| Street Address |
877 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225590 | Clare L Mccarthy | Emergency Medicine | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2005-06-14 |
| 1508466467 | Ryain Alexander | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-29 |
| 1366049132 | Shruti Elizabeth Anthony | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-05 |
| 1750998464 | Matthew Porch | Radiologic Technologist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-26 |
| 1851906101 | Stephanie Marie Baggett | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-14 |
| 1275148561 | Suzanne D Moyer | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-13 |
| 1760094999 | Adriann Skeen | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-08-19 |
| 1578181434 | Erika Gruber | Pharmacist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-07-08 |
| 1740800267 | Katara Evonne Jackson | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-24 |
| 1891315560 | Emily Ann West | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| 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 |
|---|---|---|---|---|
| 1932725611 | Shelby County Health Care Corporation | Pharmacy | 1588 Union Ave, Memphis, TN 38104-3729 | 2020-06-18 |
| 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.