NPIMap

Organization Active NPI

Memphis Health Center, Inc

Doing business as Memphis Health Center

  • Clinic Pharmacy
  • Memphis, TN
National Provider Identifier
1316040447
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
306 Issued in TN
Legal business name
MEMPHIS HEALTH CENTER, INC
Doing business as
Memphis Health Center
Practice address
360 E H Crump Blvd
Memphis, TN 38126
Phone
(901) 261-2046
Fax
(901) 946-9262
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mr. Isiah McRay, PHARMD
Title
Pharmacy Director
Phone
(901) 261-2081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 306 TN Primary
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

360 E H Crump Blvd
Memphis, TN 38126

Mailing address

360 E H Crump Blvd
Memphis, TN 38126
Phone (901) 261-2046

Other identifiers 2

IdentifierTypeStateIssuer
4416269OtherNCPDP PROVIDER IDENTIFICATION NUMBER
4447810MedicaidTN

Other names 1

  • MEMPHIS HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memohis Health Center I5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1316040447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E H CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38126",
            "telephone_number": "901-261-2046",
            "fax_number": "901-946-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E H CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38126",
            "telephone_number": "901-261-2046",
            "fax_number": "901-946-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "MCRAY",
        "authorized_official_first_name": "ISIAH",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "901-261-2081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TN",
            "license": "306",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4416269",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447810",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMPHIS HEALTH CENTER",
            "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 21, 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.