Active NPI
Good Shepherd Health
- Mail Order Pharmacy
- Memphis, TN
National Provider Identifier
1265811665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- License
- 5558
- Legal business name
- GOOD SHEPHERD HEALTH
- Practice address
- 6052 Hickory Ridge Mall
Suite 148
Memphis, TN 38115 - Phone
- (901) 921-3039
- NPI assigned
- May 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip J. Baker, PHARMD
- Title
- Ceo
- Phone
- (901) 921-3039
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mail Order Pharmacy | 3336M0002X | 5558 | TN | Primary |
Addresses
Primary practice location
6052 Hickory Ridge Mall
Suite 148
Memphis, TN 38115
Mailing address
2166 Cuba Millington Rd
Millington, TN 38053-5120
Phone (901) 921-3039
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Millington, TN
- NPI 1518306364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431993600000",
"number": "1265811665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 CUBA MILLINGTON RD",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380535120",
"telephone_number": "901-921-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6052 HICKORY RIDGE MALL",
"address_2": "SUITE 148",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38115",
"telephone_number": "901-921-3039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-921-3039",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "TN",
"license": "5558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 19, 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.