Organization Active NPI

Tri-Med Pharmacy LLC

  • Long Term Care Pharmacy
  • Memphis, TN
National Provider Identifier
1225342108
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
4372 Issued in TN
Legal business name
TRI-MED PHARMACY LLC
Practice address
2565 Horizon Lake Dr Ste 113
Memphis, TN 38133-8113
Phone
(901) 969-0690
Fax
(855) 549-0648
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Amy Konak
Title
Director of Pharmacy Biling
Phone
(727) 269-9246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 4372 TN Primary

Addresses

Primary practice location

2565 Horizon Lake Dr Ste 113
Memphis, TN 38133-8113

Mailing address

12468 La Grange Rd
#123
Louisville, KY 40245-1901
Phone (727) 269-9246

Other identifiers 1

IdentifierTypeStateIssuer
2126379OtherPK

Other names 1

  • Orion Rx - Memphis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orion RX - Hendersonville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1225342108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12468 LA GRANGE RD",
            "address_2": "#123",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451901",
            "telephone_number": "727-269-9246",
            "fax_number": "855-549-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 HORIZON LAKE DR STE 113",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338113",
            "telephone_number": "901-969-0690",
            "fax_number": "855-549-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-MED PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "KONAK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY BILING",
        "authorized_official_telephone_number": "727-269-9246"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "4372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orion Rx - Memphis",
            "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 Oct 1, 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.