Accredo Health Group Inc
Organization Active NPI Pharmacy · Memphis, TN
NPI 1275740474 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1275740474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 3946 (TN)
- Legal business name
- ACCREDO HEALTH GROUP INC
- Practice address
- 1620 Century Center Pkwy
Suite 109
Memphis, TN 38134-8849 - Phone
- (901) 385-3600
- Fax
- (888) 302-1028
- NPI assigned
- May 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Vic Perini
- Title
- Assistant Secretary
- Phone
- (314) 684-6924
Corporate family (same tax ID) 40
Practitioners 15
-
Erica Renee Ducking, PHARMD
-
Melissa Yau Gray, PHARMD
-
Steve Edwards Harder, DPH
-
Patricia Ann Harness, PHARMD
-
Sherry Sue Hayes, DOCTOR OF PHARMACY
-
Valerie Ruth Irby, DPH
-
Erica Bolden Mack, PHAM D
-
Perrin Rowsey, DPH
-
Sonijia Martin Stevens, PHARMD
-
Maia Briana Tatum, PHARM. D
-
Keith Allen Taylor, PHARM.D.
-
Linda Wiley Wright, RPH
National Provider Directory
- Tax ID family
- Accredo Health Group in
Locations
1620 Century Center Pkwy
Ste 101
Memphis, TN 38134
Phone (901) 365-3600
1620 Century Center Pkwy
Ste 109
Memphis, TN 38134
Phone (901) 381-7400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 3946 | TN | Yes |
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1620 Century Center Pkwy
Suite 109
Memphis, TN 38134-8849
Mailing address
PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09753251 | Medicaid | MS | |
| 09824589 | Medicaid | MS | |
| 1455112 | Medicaid | TN | |
| 4436920 | Medicaid | TN | |
| 8533812 | Medicaid | SD | |
| 0578625 | Medicaid | IA | |
| 113194005 | Medicaid | WY | |
| 158995407 | Medicaid | AR | |
| 2095288 | Other | PK | |
| 4105365 | Medicaid | TN | |
| 4436920 | Medicaid | MI | |
| 508187 | Medicaid | HI | |
| 603030503 | Medicaid | MO | |
| 188488300 | Medicaid | MN | |
| 4094506-00 | Medicaid | MD | |
| 6027692 | Medicaid | WA | |
| 99102048 | Medicaid | NM | |
| 035891400 | Medicaid | DC | |
| 100245100C | Medicaid | OK | |
| 1346208949 | Medicaid | MT | |
| 0103012 | Medicaid | NJ | |
| 02718770 | Medicaid | NY | |
| 1007777870023 | Medicaid | PA | |
| 200494710A | Medicaid | IN | |
| 54008214 | Medicaid | KY | |
| 806981800 | Medicaid | ID | |
| 100245100C | Medicaid | KY | |
| 200445 | Medicaid | IN | |
| 4090811 | Medicaid | TN | |
| 8095002 | Medicaid | WA | |
| 0102997 | Medicaid | NJ | |
| 160980000 | Medicaid | ME | |
| 21460 | Medicaid | ND | |
| 2487385 | Medicaid | OH | |
| 30703864 | Medicaid | NH | |
| 927957 | Medicaid | AZ | |
| PH536TN | Medicaid | AK |
NPI Registry JSON
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1275740474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 954041",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631950001",
"telephone_number": "901-381-7141",
"fax_number": "901-261-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 CENTURY CENTER PKWY",
"address_2": "SUITE 109",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381348849",
"telephone_number": "901-385-3600",
"fax_number": "888-302-1028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCREDO HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A",
"authorized_official_last_name": "PERINI",
"authorized_official_first_name": "VIC",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "314-684-6924"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TN",
"license": "3946",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
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],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.