Organization Active NPI

Shotrx, LLC

Doing business as ShotRx Health and Wellness Solutions

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1154990943
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHOTRX, LLC
Doing business as
ShotRx Health and Wellness Solutions
Practice address
6084 Apple Tree Dr Ste 11
Memphis, TN 38115-0305
Phone
(901) 779-6500
Fax
(901) 779-6555
NPI assigned
Jun 24, 2021
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Dr. Merica Yvette Lyons, PHARMDNPI 1730202383
Title
Owner
Phone
(901) 779-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

6084 Apple Tree Dr Ste 11
Memphis, TN 38115-0305

Mailing address

6084 Apple Tree Dr Ste 11
Memphis, TN 38115-0305
Phone (901) 779-6500

Other names 1

  • ShotRx Health and Wellness Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118001204 TN Part B Supplier - Clinic/Group Practice 6406245174 Receives reassigned benefits from 6 practitioners
Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2213022Shotrx, LLC6084 Apple Tree Drive #11, Memphis, TN 38115Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

6084 Apple Tree Dr
Ste 10
Memphis, TN 38115
Phone (901) 207-4804

6084 Apple Tree Dr
Ste 11
Memphis, TN 38115
Phone (901) 643-3556

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1154990943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150305",
            "telephone_number": "901-779-6500",
            "fax_number": "901-779-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150305",
            "telephone_number": "901-779-6500",
            "fax_number": "901-779-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOTRX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "MERICA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-779-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShotRx Health and Wellness Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.