Madison Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3957 Issued in TN

Legal business name

MADISON PHARMACY INC

Doing business as

Madison Pharmacy

Practice address

1750 Madison Ave
Ste 110
Memphis, TN 38104-6492

Phone

(901) 274-4334

Fax

(901) 274-4335

NPI assigned

Aug 9, 2006

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rende Ginn

Title

Pharmacist/Owner

Phone

(901) 274-4334

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Madison Pharmacy Doing business as

Locations

Practitioners 1

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.

• Ami Jones Wittber, PHARMD

  • Pharmacist
  • Memphis, TN
  • NPI 1629173927
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1669482683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 MADISON AVE",
            "address_2": "STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046492",
            "telephone_number": "901-274-4334",
            "fax_number": "901-274-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MADISON AVE",
            "address_2": "STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046492",
            "telephone_number": "901-274-4334",
            "fax_number": "901-274-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "GINN",
        "authorized_official_first_name": "RENDE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "901-274-4334"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3957",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Obi Maddox
• Stephanie Maddox, NCC, LPC
• Stephanie Leake Maddox, P.T.
• Rebecca McLaurin Maddux, LPC-MHSP
• Meghan Marie Madea, CNM, NP
• Adrianna P. Madison, LDO
• Cynthia Madison
• Lawrence E Madlock, M.D.
• Arshia Madni, MD
• Albert L Maduska, MD

• 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 10, 2016; 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.