Good Shepherd Medication Management

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5579 Issued in TN

Legal business name

GOOD SHEPHERD MEDICATION MANAGEMENT

Practice address

6052 Hickory Ridge Mall Ste 148
Memphis, TN 38115

Phone

(901) 921-3039

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Phil Baker, PHARMD

Title

Ceo

Phone

(901) 921-3039

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Joseph Baker, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Millington, TN
  • NPI 1518306364
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1104207166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 CUBA MILLINGTON ROAD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "38053",
            "telephone_number": "901-921-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6052 HICKORY RIDGE MALL STE 148",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38115",
            "telephone_number": "901-921-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MEDICATION MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-921-3039",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BOARD OF PHARMACY",
            "identifier": "5579",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Hands Community Care LLC
• Good Health Institute Inc
• Good Health Organization Inc
• Good Samaritan Home Services, LLC
• Good Shepherd Health
• Good Touch Home Care LLC
• Jennifer Good, PHARM D
• Goode Chiropractic Clinic, LLC
• Goode Provider
• Gary Allen Goode, D.C.

• Community/Retail Pharmacy in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.