Active NPI
Credencerx ,LLC
- Community/Retail Pharmacy
- Memphis, TN
National Provider Identifier
1437743069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CREDENCERX ,LLC
- Doing business as
- CredenceRx
- Practice address
- 2900 Kirby Rd Ste 5
Memphis, TN 38119-8205 - Phone
- (901) 560-2444
- Fax
- (901) 421-6166
- NPI assigned
- Feb 24, 2021
- 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
- Althea Sweet Lucas
- Title
- Manager/Administrator
- Phone
- (901) 560-2444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2900 Kirby Rd Ste 5
Memphis, TN 38119-8205
Mailing address
2900 Kirby Rd Ste 5
Memphis, TN 38119-8205
Phone (901) 560-2444
Other names 1
- CredenceRx
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1437743069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 KIRBY RD STE 5",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198205",
"telephone_number": "901-560-2444",
"fax_number": "901-421-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 KIRBY RD STE 5",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198205",
"telephone_number": "901-560-2444",
"fax_number": "901-421-6166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREDENCERX ,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "ALTHEA",
"authorized_official_middle_name": "SWEET",
"authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
"authorized_official_telephone_number": "901-560-2444"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CredenceRx",
"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 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.