Organization Active NPI

Sarjo Pharmacy, Inc.

  • Compounding Pharmacy
  • Memphis, TN
National Provider Identifier
1013495472
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
SARJO PHARMACY, INC.
Practice address
3385 Airways Blvd Ste 217
Memphis, TN 38116-3808
Phone
(901) 619-9148
NPI assigned
Jul 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Katina Simmons, PHD
Title
President
Phone
(901) 619-9148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

3385 Airways Blvd Ste 217
Memphis, TN 38116-3808

Mailing address

3385 Airways Blvd Ste 217
Memphis, TN 38116-3808
Phone (901) 619-9148

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532822400000",
    "number": "1013495472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD STE 217",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163808",
            "telephone_number": "901-619-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD STE 217",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163808",
            "telephone_number": "901-619-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARJO PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-619-9148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.