Medipharm Discount Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4492 Issued in TN

Legal business name

MEDIPHARM DISCOUNT PHARMACY INC.

Practice address

1026 N Germantown Pkwy
Cordova, TN 38018-5892

Phone

(901) 373-9955

Fax

(901) 382-9966

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Rourke Smith

Title

President

Phone

(312) 810-2200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDIPHARM DISCOUNT PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1174077408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380185892",
            "telephone_number": "901-373-9955",
            "fax_number": "901-382-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380185892",
            "telephone_number": "901-373-9955",
            "fax_number": "901-382-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPHARM DISCOUNT PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROURKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-810-2200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4492",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164121",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIPHARM DISCOUNT PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick Meadow, APRN, PMHNP-BC, CNL
• Cynthia Ziegler Mealer, PH.D.
• Med Servc LLC
• Medical Necessities & Services, LLC
• Medical Necessities & Services, LLC
• Medivelo Logistics LLC
• Medpartners Inc
• Nelly Meeks, PMHNP
• Meharry Health Network, PC
• Meharry Health Network, PC

• Community/Retail Pharmacy in Cordova, TN
• Providers in Cordova, 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 Oct 19, 2016; 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.