Tri State Community Health Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TRI STATE COMMUNITY HEALTH CENTER

Doing business as

Tri State Community Health Center Pharmacy

Practice address

4041 Knight Arnold Rd Ste 200
Memphis, TN 38118-2128

Phone

(901) 572-1573

Fax

(901) 261-7120

NPI assigned

Jun 16, 2025

Organization subpart

Yes

Parent organization

TRI STATE COMMUNITY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Tamika D Russell, PHARM. D.NPI 1548584543

Title

Pharmacy Manager

Phone

(901) 572-1573

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri State Community Health Center Pharmacy Doing business as

Tax ID family

Tri St Community HLTH CNTR2 organizations share this tax ID, including this one

Part of

Tri St Community HLTH CNTR

Other organizations with this tax ID 1

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

• Tri State Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1285002634
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tri State Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1285002634
  NPPES parent name

Practitioners 2

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

• Tamika D Russell, PHARM.D

  • Pharmacist
  • Memphis, TN
  • NPI 1548584543
  NPD Authorized official
• Angela N Knowles, LMSW, CFTP,CBC

  • Social Worker
  • Memphis, TN
  • NPI 1336782762
  NPD

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1396631404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 KNIGHT ARNOLD RD STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182128",
            "telephone_number": "901-572-1573",
            "fax_number": "901-261-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 KNIGHT ARNOLD RD STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182128",
            "telephone_number": "901-572-1573",
            "fax_number": "901-261-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI STATE COMMUNITY HEALTH CENTER",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "901-572-1573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q105539",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri State Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Trent
• Gary F Trew, M.D.
• Trezevant Episcopal Home (Allen Morgan Health & Rehabilitation Center)
• May Trezevant, PHARMD
• Tri State Community Health Center
• Tri-Med Pharmacy LLC (Orion Rx - Memphis)
• Tri-State Gastroenterology, P.C.
• Tri-State Medical Management
• Tri-State Neurology PLLC
• Tri-State Orthopaedics, LLC

• Community/Retail Pharmacy in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.