Mary John White, PHARMD
Individual provider Active NPI Pharmacist · Memphis, TN
NPI 1104190875 · NPPES record last updated Feb 28, 2012
Key facts
- NPI
- 1104190875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 010189 (MS)
- Practice address
- 3315 Hacks Cross Rd
Suite 111
Memphis, TN 38125-8935 - Phone
- (901) 737-9797
- NPI assigned
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010189 | MS | MD | Pharmacist |
| 29410 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford RX | Current | Accepting new patients | |
| Eyes on Diabetes PLLC | Past | Accepting new patients | |
| RX Shoppe Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010189 | MS | Yes |
| Pharmacist | 183500000X | 29410 | TN |
Addresses
Primary practice location
3315 Hacks Cross Rd
Suite 111
Memphis, TN 38125-8935
Mailing address
3315 Hacks Cross Rd
Suite 111
Memphis, TN 38125-8935
Phone (901) 737-9797
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.