Active NPI
Accredo Health Group Inc
- Pharmacy
- Memphis, TN
National Provider Identifier
1346208949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 3946
- Legal business name
- ACCREDO HEALTH GROUP INC
- Doing business as
- Accredo Health Group Inc
- Practice address
- 1620 Century Center Pkwy Ste 109
Memphis, TN 38134-8849 - Phone
- (901) 385-3600
- Fax
- (888) 302-1028
- NPI assigned
- May 3, 2006
- Last updated
- Feb 17, 2025
- 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
- Vic Perini
- Title
- Assistant Secretary
- Phone
- (314) 684-6750
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 3946 | TN | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1620 Century Center Pkwy Ste 109
Memphis, TN 38134-8849
Mailing address
PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141
Other identifiers 34
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035891400 | Medicaid | DC | |
| 0578625 | Medicaid | IA | |
| 806981800 | Medicaid | ID | |
| 99102048 | Medicaid | NM | |
| 1346208949 | Medicaid | MT | |
| 1455112 | Medicaid | TN | |
| 21460 | Medicaid | ND | |
| 2487385 | Medicaid | OH | |
| 30703864 | Medicaid | NH | |
| 4436920 | Medicaid | MI | |
| 927957 | Medicaid | AZ | |
| 0102997 | Medicaid | NJ | |
| 02718770 | Medicaid | NY | |
| 113194005 | Medicaid | WY | |
| 603030503 | Medicaid | MO | |
| 010234417 | Medicaid | VA | |
| 09753251 | Medicaid | MS | |
| 09824589 | Medicaid | MS | |
| 8095002 | Medicaid | WA | |
| 1007777870023 | Medicaid | PA | |
| 188488300 | Medicaid | MN | |
| 2093994 | Other | PK | |
| 54008214 | Medicaid | KY | |
| 6027692 | Medicaid | WA | |
| 0103012 | Medicaid | NJ | |
| 100245100C | Medicaid | OK | |
| 160980000 | Medicaid | ME | |
| 200445 | Medicaid | IN | |
| 8533812 | Medicaid | SD | |
| 508187 | Medicaid | HI | |
| PH536TN | Medicaid | AK | |
| 158995407 | Medicaid | AR | |
| 200494710A | Medicaid | IN | |
| 4094506-00 | Medicaid | MD |
Other names 1
- ACCREDO HEALTH GROUP INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930046568 | TN | DME Supplier - Pharmacy | 6901794007 | Practice locations: Memphis, TN |
| O20101110000341 | TN | Part B Supplier - Pharmacy | 6901794007 | Practice locations: Memphis, TN |
| O20220406000415 | TN | Part B Supplier - Home Infusion Therapy Supplier | 6901794007 | Practice locations: Memphis, TN |
National Provider Directory
National Provider DirectoryLocations
1620 Century Center Pkwy
Ste 101
Memphis, TN 38134
Phone (901) 381-7400
1620 Century Center Pkwy
Ste 109
Memphis, TN 38134
Phone (901) 381-7400
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1346208949",
"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 STE 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": "2006-05-03",
"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": "314-684-6750"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TN",
"license": "3946",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
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"identifier": "035891400",
"state": "DC"
},
{
"code": "05",
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"identifier": "0578625",
"state": "IA"
},
{
"code": "05",
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"issuer": null,
"identifier": "806981800",
"state": "ID"
},
{
"code": "05",
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"issuer": null,
"identifier": "99102048",
"state": "NM"
},
{
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"state": "MT"
},
{
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"desc": "MEDICAID",
"issuer": null,
"identifier": "1455112",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21460",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2487385",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30703864",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4436920",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "927957",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102997",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02718770",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113194005",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "603030503",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010234417",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09753251",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09824589",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8095002",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007777870023",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188488300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2093994",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54008214",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6027692",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103012",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245100C",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160980000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200445",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8533812",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "508187",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PH536TN",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158995407",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200494710A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4094506-00",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACCREDO HEALTH GROUP INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ACCREDO HEALTH GROUP INC",
"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 Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.