Organization Active NPI

Credencerx ,LLC

  • Community/Retail Pharmacy
  • Memphis, TN
National Provider Identifier
1437743069
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Feb 24, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.