Active NPI
Baptist Memorial Medical Group Inc
Doing business as BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BAPTIST MEMORIAL MEDICAL GROUP INC
- Doing business as
- BMG East Memphis Pharmacy
- Practice address
- 4625 Poplar Ave
Memphis, TN 38117-4419 - Phone
- (901) 227-4020
- Fax
- (901) 227-4023
- NPI assigned
- Dec 10, 2024
- Last updated
- Dec 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory M Duckett
- Title
- Evp Clo
- Phone
- (901) 227-5233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
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 1
- BMG East Memphis Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| 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 |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba BMG Wolf River Pharmacy
- Community/Retail Pharmacy
- Germantown, TN
- NPI 1174087324
5193610228
-
dba BMG West Massey Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1184481814
5193610228
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
5193610228
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba BMG Wolf River Pharmacy
- Community/Retail Pharmacy
- Germantown, TN
- NPI 1174087324
O20200910002266
-
dba BMG West Massey Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1184481814
O20200910002266
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Baptist Memorial Medical Group, Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Baptist Mem HLTH Serv Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba BMG Wolf River Pharmacy
- Community/Retail Pharmacy
- Germantown, TN
- NPI 1174087324
-
dba BMG West Massey Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1184481814
Locations (25 of 37)
904 Holiday Dr
Ste 400
Forrest City, AR 72335
Phone (870) 630-1700
4802 E Johnson Ave
Fl 2
Jonesboro, AR 72405
Phone (901) 226-4280
1107 Earl Frye Blvd
Ste 2
Amory, MS 38821
Phone (662) 240-1412
100 Hospital St
Ste 300
Booneville, MS 38829
Phone (601) 728-2147
200 Park Creek Dr
Columbus, MS 39705
Phone (662) 327-8410
2102 5th St N
Ste 1
Columbus, MS 39705
Phone (662) 244-2550
255 Baptist Blvd
Ste 402B
Columbus, MS 39705
Phone (662) 244-2650
3700 N Frontage Rd
Columbus, MS 39701
Phone (205) 330-8820
200 State Highway 30 W
Ste 100
New Albany, MS 38652
Phone (662) 538-2680
452 W Bankhead St
New Albany, MS 38652
Phone (601) 968-8132
456 W Bankhead St
New Albany, MS 38652
Phone (662) 534-7474
2301 S Lamar Blvd
Ste 130
Oxford, MS 38655
Phone (662) 236-2900
551 Azalea Dr
Oxford, MS 38655
Phone (662) 234-0332
363 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (662) 772-5222
1500 W Poplar Ave
#B
Collierville, TN 38017
Phone (901) 861-9090
1500 W Poplar Ave
Ste 202
Collierville, TN 38017
Phone (901) 861-5111
1995 Highway 51 S
Ste 101
Covington, TN 38019
Phone (901) 476-7371
1998 Highway 51 S
Covington, TN 38019
Phone (901) 476-1155
2100 Exeter Rd
#112
Germantown, TN 38138
Phone (901) 757-3403
2100 Exeter Rd
Ste 210
Germantown, TN 38138
Phone (901) 701-5604
2120 Exeter Rd
Ste 230
Germantown, TN 38138
Phone (901) 257-3277
2120 Exeter Rd
Ste 240
Germantown, TN 38138
Phone (901) 757-0145
54 Stone Ridge Cv
Huntingdon, TN 38344
Phone (731) 986-0082
641 Rb Wilson Dr
Ste B
Huntingdon, TN 38344
Phone (731) 986-7100
641 Rb Wilson Dr
Ste G
Huntingdon, TN 38344
Phone (731) 986-7400
Practitioners & affiliated clinicians
Practitioners 774
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.
-
- Surgery Physician
- Memphis, TN
- NPI 1386741676
-
- Speech-Language Pathologist
- Germantown, TN
- NPI 1669875043
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1285897553
-
- Pediatric Endocrinology Physician
- Memphis, TN
- NPI 1952781064
-
- Gastroenterology Physician
- Memphis, TN
- NPI 1588831721
-
- Obstetrics & Gynecology Physician
- Union City, TN
- NPI 1831274992
-
- Family Medicine Physician
- Germantown, TN
- NPI 1780633966
-
- Family Medicine Physician
- Centerville, TN
- NPI 1013103449
-
- Physician Assistant
- Memphis, TN
- NPI 1730226804
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1386002228
-
- Advanced Practice Midwife
- Union City, TN
- NPI 1265435671
-
- Geriatric Medicine (Internal Medicine) Physician
- Collierville, TN
- NPI 1154436327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1841006129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174419",
"telephone_number": "901-227-4020",
"fax_number": "901-227-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174419",
"telephone_number": "901-227-4020",
"fax_number": "901-227-4023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST MEMORIAL MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "DUCKETT",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EVP CLO",
"authorized_official_telephone_number": "901-227-5233"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BMG East Memphis Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
- Baptist Memorial Hospital (Baptist Gastrointestinal Specialists Surgery Center)
- Baptist Memorial Hospital (Baptist Trinity Home Health and Hospice)
- Baptist Memorial Hospital-Tipton (Walnut Grove Plaza Pharmacy #2)
- Baptist Memorial Medical Group Inc (BMG West Massey Pharmacy)
- Baptist Memorial Medical Group Inc
- Baptist Memorial Regional Rehabilitation Services Inc
- Baptist Memorial Regional Rehabilitative Services Inc
- Baptist Minor Medical Centers Inc (Baptist Minor Medical Center)
- Baptist-Emsc LP (East Memphis Surgery Center)
- Yael Bar-Peled, CGC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.