NPIMap

Organization Active NPI

Alliance Healthcare Services Broad Pharmacy

  • Clinic Pharmacy
  • Memphis, TN
National Provider Identifier
1730983933
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
ALLIANCE HEALTHCARE SERVICES BROAD PHARMACY
Practice address
3200 Broad Ave
Memphis, TN 38112-3104
Phone
(901) 577-9400
NPI assigned
Apr 4, 2025
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLIANCE HEALTHCARE PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Shauna Sykes
Title
Pharmacist
Phone
(901) 577-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

3200 Broad Ave
Memphis, TN 38112-3104

Mailing address

2220 Union Ave
Memphis, TN 38104-4315

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2179214Alliance Healthcare Services3200 Broad Ave, Memphis, TN 38112Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Southeast M H C Pharmacy6 organizations share this tax ID, including this one
Part of
Southeast M H C Pharmacy

Other organizations with this tax ID 5

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

Locations

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1730983933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROAD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123104",
            "telephone_number": "901-577-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE SERVICES BROAD PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE HEALTHCARE PHARMACY",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "901-577-9400"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.