PMC Healthcare Pharmacies LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0789 Issued in TN

Legal business name

PMC HEALTHCARE PHARMACIES LLC

Doing business as

PharMerica

Practice address

1680 Century Center Pkwy
Suite 15
Memphis, TN 38134-8827

Phone

(901) 388-4519

Fax

(901) 388-5267

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

PHARMERICA CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Allison L. Brown

Title

Secretary

Phone

(502) 630-7429

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• PharMerica Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• PMC Healthcare Pharmacies LLC

  dba PharMerica

  • Long Term Care Pharmacy
  • Knoxville, TN
  • NPI 1609987643

  8123067204

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• PMC Healthcare Pharmacies LLC

  dba PharMerica

  • Long Term Care Pharmacy
  • Knoxville, TN
  • NPI 1609987643

  O20210309000021

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Corporation of America

  dba Pharmerica

  • Long Term Care Pharmacy
  • Wallingford, CT
  • NPI 1841223419

  Member Of

  NPD member
• Pharmerica Institutional Pharmacy Services LLC

  dba PharMerica

  • Long Term Care Pharmacy
  • Concord, NH
  • NPI 1215047238

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #19561

  • Pharmacy
  • Clarkesville, GA
  • NPI 1972028645

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Holli L. Hardin, PHARM D

  • Pharmacist
  • Knoxville, TN
  • NPI 1487238267
  NPD (past)
• Thomas Andrew Moak III, D.PH.

  • Pharmacist
  • Knoxville, TN
  • NPI 1184626038
  NPD (past)
• Nicole Elaine Roberts

  • Pharmacist
  • Knoxville, TN
  • NPI 1134658230
  NPD (past)
• John Christopher White, PHARMD

  • Geriatric Pharmacist
  • Memphis, TN
  • NPI 1922548361
  NPD (past)
• Madison Ann Williams, PHARM.D

  • Pharmacist
  • Memphis, TN
  • NPI 1952935322
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1730290784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CORPOREX PARK DR",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191125",
            "telephone_number": "813-318-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CENTURY CENTER PKWY",
            "address_2": "SUITE 15",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348827",
            "telephone_number": "901-388-4519",
            "fax_number": "901-388-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC HEALTHCARE PHARMACIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA CORPORATION",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-630-7429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "0789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330569",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454948",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4427008",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210954407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Jaclyn Plewes, OD
• Jessica Arean Pliego, PHD
• Vance Leland Plumhoff, NP
• David Plunkett, PHARM.D.
• Lauren Plyler, AG-ACNP-BC
• Amy R Poag, LPC-MHSP
• Podiatry Centers of Memphis PC
• Michael Adam Podraza, M.D.
• Laura Lee Poe, CRNA
• Sarah Elizabeth Poe

• Long Term Care Pharmacy in Memphis, TN
• Providers in Memphis, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.