Medipharm Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

4821 Issued in TN

Legal business name

MEDIPHARM INC

Practice address

295 S Bellevue Blvd Ste 1a
Memphis, TN 38104-7517

Phone

(901) 373-9955

Fax

(901) 382-9966

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Nyanday Oti

Title

Administrator

Phone

(901) 373-9955

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• MediPharm Specialty Pharmacy Doing business as

Tax ID family

Medipharm Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Medipharm Inc.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1033406111
  NPD tax ID
• Medipharm Inc

  • Community/Retail Pharmacy
  • West Memphis, AR
  • NPI 1144559592
  NPD tax ID

Locations

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1780980631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S BELLEVUE BLVD",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047517",
            "telephone_number": "901-373-9955",
            "fax_number": "901-382-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S BELLEVUE BLVD STE 1A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047517",
            "telephone_number": "901-373-9955",
            "fax_number": "901-382-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "OTI",
        "authorized_official_first_name": "NYANDAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-373-9955"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "4821",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4444080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediPharm Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 16, 2011; 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.