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Organization Active NPI

Methodist Healthcare - Memphis Hospitals

Doing business as Methodist Hospital Op Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
National Provider Identifier
1801819818
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1777 Issued in TN
Legal business name
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Doing business as
Methodist Hospital Op Pharmacy
Practice address
1265 Union Ave
Memphis, TN 38104
Phone
(901) 516-8168
Fax
(901) 516-8397
NPI assigned
Jul 25, 2006
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Larry Fogarty
Title
VP of Finance/ Reimbursement
Phone
(901) 478-1057

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1777 TN Primary
Institutional Pharmacy 3336I0012X 1777 TN

Addresses

Primary practice location

1265 Union Ave
Memphis, TN 38104

Mailing address

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-8168

Other identifiers 2

IdentifierTypeStateIssuer
2088270OtherPK
4412160MedicaidTN

Other names 1

  • METHODIST HOSPITAL OP PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930052245 TN DME Supplier - PharmacyDME Supplier - Hospital 1355248394 Practice locations: Memphis, TN
O20190508003000 TN Part B Supplier - Pharmacy 1355248394 Practice locations: Memphis, TN

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Methodist Hospital Cent12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1211 Union Ave
Ste 600
Memphis, TN 38104

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Memphis, a Partner of MethMemphis, TN, CCN 443029 Hospital Limited Partnership Interest (50%) Dec 31, 2021
Encompass Health Rehabilitation Hospital of North Memphis, a Partner OMemphis, TN, CCN 443031 Hospital Limited Partnership Interest (50%) Feb 26, 1992

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1801819818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-516-8168",
            "fax_number": "901-516-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-516-8168",
            "fax_number": "901-516-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE - MEMPHIS HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "VP OF FINANCE/ REIMBURSEMENT",
        "authorized_official_telephone_number": "901-478-1057"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1777",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TN",
            "license": "1777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4412160",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METHODIST HOSPITAL OP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METHODIST HOSPITAL OP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.