FIRST PHARMACY SERVICES OF PARK AVE INC (NPI# 1982855763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982855763 |
| Entity Type | Organization |
| Organization Name | FIRST PHARMACY SERVICES OF PARK AVE INC |
| Other Organization Name | FIRST PHARMACY SERVICES OF PARK AVE |
| Practice Address |
6005 Park Ave Ste 630b Memphis TN 38119-5226 |
| Mailing Address |
Po Box 47 Pope MS 38658 |
| Practice Telephone | 9018218330 |
| Practice Fax Number | 9018218350 |
| Mailing Telephone | 9019461375 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | DENISE PRATT (PHARMACIST) |
| Authorized Official Telephone | 9018218330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4571 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2117378 | 01 |
| Other Name | Type Code |
|---|---|
| First Pharmacy Services of Park Ave | Doing Business As Name - Organization |
| Street Address |
6005 PARK AVE STE 630B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902991706 | Kenny Nmi Terry | Psychiatry & Neurology | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-10-04 |
| 1265030175 | Clifton Mcrae Allred | Registered Nurse | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2020-10-13 |
| 1841787694 | Dennis Lamar Painter I | Psychologist | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2018-04-17 |
| 1356850283 | Sarah Vogelfanger | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2017-09-22 |
| 1174032213 | Michael David Hobbs | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2017-09-20 |
| 1043752793 | Camillia Haddix | Registered Nurse | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2016-11-12 |
| 1679716013 | Nga Huynh | Psychiatry & Neurology | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2009-04-15 |
| 1952555872 | Rsk Enterprises LLC | Social Worker | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2008-11-05 |
| 1902966765 | Chante Smith-steward Fason | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-12-11 |
| 1639265085 | Deronda Vynette Terry | Counselor | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-10-05 |
| 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 FIRST PHARMACY SERVICES OF PARK AVE INC.
| 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.