Active NPI
Christ Community Health Services Inc
Doing business as Christ Community Health Services INC-Frayser Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
National Provider Identifier
1356749915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 00005474
- Legal business name
- CHRIST COMMUNITY HEALTH SERVICES INC
- Doing business as
- Christ Community Health Services INC-Frayser Pharmacy
- Practice address
- 969 Frayser Blvd
Memphis, TN 38127-5977 - Phone
- (901) 701-2545
- Fax
- (901) 701-2549
- NPI assigned
- Dec 15, 2014
- Last updated
- Dec 6, 2024
- 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
- Tracy McDaniel
- Title
- Ceo
- Phone
- (901) 842-3160
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 00005474 | TN | Primary |
Addresses
Primary practice location
969 Frayser Blvd
Memphis, TN 38127-5977
Mailing address
2670 Union Avenue Ext Ste 1000
Memphis, TN 38112-4416
Phone (901) 842-3160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149265 | Other | PK | |
| 3707256 | Medicaid | TN |
Other names 1
- Christ Community Health Services INC-Frayser Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Christ Community Health Services Inc
Other organizations with this tax ID 22
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1003442112
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1629213475
-
dba Christ Community Health Services, Inc. - 3rd St Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1730651373
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1053572206
-
dba Christ Community Health Services-Hickory Hill Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1053613851
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1407017650
-
dba Christ Community Health Services, Inc.-Orange Mound Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1558797613
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1609030832
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1609572882
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1770863557
-
- Federally Qualified Health Center (FQHC)
- Jackson, TN
- NPI 1871299297
-
dba CHRIST COMM HEALTH SVS- Broad Ave Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1891837290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733443200000",
"number": "1356749915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 UNION AVENUE EXT STE 1000",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381124416",
"telephone_number": "901-842-3160",
"fax_number": "901-260-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 FRAYSER BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381275977",
"telephone_number": "901-701-2545",
"fax_number": "901-701-2549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIST COMMUNITY HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-15",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-842-3160"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "00005474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2149265",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3707256",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Christ Community Health Services INC-Frayser Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Christ Community Health Services INC-Frayser Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
- Christ Commuity Health Services Inc
- Christ Commuity Health Services Inc
- Christ Commuity Health Services Inc (Christ Community Health Services, Inc. - 3rd St Pharmacy)
- Christ Community Health Services Inc
- Christ Community Health Services Inc (Christ Community Health Services-Hickory Hill Pharmacy)
- Christ Community Health Services Inc
- Christ Community Health Services Inc (Christ Community Health Services, Inc.-Orange Mound Pharmacy)
- Christ Community Health Services Inc
- Christ Community Health Services Inc
- Christ Community Health Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.