Baptist Memorial Medical Group Inc
Organization Active NPI Community/Retail Pharmacy · Memphis, TN
NPI 1841006129 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1841006129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BAPTIST MEMORIAL MEDICAL GROUP INC
- Practice address
- 4625 Poplar Ave
Memphis, TN 38117-4419 - Phone
- (901) 227-4020
- Fax
- (901) 227-4023
- NPI assigned
- Dec 10, 2024
- Organization subpart
- No
Authorized official
- Name
- Gregory M Duckett
- Title
- Evp Clo
- Phone
- (901) 227-5233
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 2
Practitioners 811
-
Ahmad Bashar Abdulkarim, MD, PHD
-
Leah Ifeoluwa Akinseye, M.D.
-
Abdullah Al-Rashdan, M.D.
-
Robert Alejo Armada, D.O.
-
Monam Bashir Awan, M.D.
-
Anita Lynn Baker-Ross, APN, CNM
-
Gala Markia Barden, M.D.
-
James Calvin Beasley Jr., DNP AG-ACNP-BC, FNP-
-
Neal S Beckford, M.D.
-
Jessica Estelle Bell, M.D.
-
Prashanth Bhat, M.D.
-
Muhammad F Bilal, MD
-
Denisha Renee Blacher, APRN
-
Linda Marie Bowen, AGACNP-BC
-
Amber Nicole Bradley, FNP
-
Bruce B Brown, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Baptist Memorial Medical Group, Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200910002266 | TN | Part B Supplier - Pharmacy | 5193610228 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Germantown, TN; Memphis, TN |
| O20250620000955 | TN | DME Supplier - Pharmacy | 5193610228 | Practice locations: Memphis, TN |
National Provider Directory
- Tax ID family
- Baptist Memorial Med GRP
Locations (25 of 45)
4802 E Johnson Ave
Fl 2
Jonesboro, AR 72405
Phone (901) 226-4280
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
255 Baptist Blvd
Ste 305
Columbus, MS 39705
Phone (662) 241-0050
255 Baptist Blvd
Ste 402B
Columbus, MS 39705
Phone (662) 244-2650
500 W Bankhead St
New Albany, MS 38652
Phone (662) 534-7474
216 Oxford Rd
New Albany, MS 38652
Phone (662) 534-9042
228 Starlyn Ave
New Albany, MS 38652
Phone (662) 534-1888
5036 Goodman Rd
Ste 116
Olive Branch, MS 38654
Phone (662) 420-7061
2301 S Lamar Blvd
Ste 100
Oxford, MS 38655
Phone (662) 234-0119
81 Ed Perry Blvd
Ste 105
Oxford, MS 38655
Phone (662) 636-5335
353 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-5999
363 Southcrest Cir
Ste 202
Southaven, MS 38671
Phone (662) 536-1944
363 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (662) 772-5222
401 Southcrest Cir
Ste 204
Southaven, MS 38671
Phone (662) 349-0311
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
2996 Kate Bond Rd
Ste 207
Bartlett, TN 38133
Phone (901) 379-0532
2996 Kate Bond Rd
Ste 100
Bartlett, TN 38133
Phone (901) 383-5570
400 Market Blvd
Ste 111
Collierville, TN 38017
Phone (901) 227-0020
1500 W Poplar Ave
#B
Collierville, TN 38017
Phone (901) 861-9090
1995 Highway 51 S
Ste 203
Covington, TN 38019
Phone (901) 475-5480
1998 Highway 51 S
Covington, TN 38019
Phone (901) 476-1155
1995 Highway 51 S
Ste 101
Covington, TN 38019
Phone (901) 476-7371
2120 Exeter Rd
Ste 240
Germantown, TN 38138
Phone (901) 757-0145
7205 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 227-8950
2100 Exeter Rd
#112
Germantown, TN 38138
Phone (901) 757-3403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4625 Poplar Ave
Memphis, TN 38117-4419
Mailing address
4625 Poplar Ave
Memphis, TN 38117-4419
Phone (901) 227-4020
Other names
- BMG East Memphis Pharmacy
Other providers in Memphis, TN
- Baptist Memorial Hospital
- Baptist Memorial Hospital
- Baptist Memorial Hospital-Tipton
- Baptist Memorial Medical Group Inc
- Baptist Memorial Medical Group Inc
- Baptist Memorial Regional Rehabilitation Services Inc
- Baptist Memorial Regional Rehabilitative Services Inc
- Baptist Minor Medical Centers Inc
- Baptist-Emsc LP
- Yael Bar-Peled
All providers in Memphis, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.