Organization Active NPI

Baptist Memorial Medical Group Inc

Doing business as BMG East Memphis Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
National Provider Identifier
1841006129
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Baptist Memorial Medical Group, Inc4625 Poplar Ave, Memphis, TN 38117-4419(901) 227-4020 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Mar 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Baptist Mem HLTH Serv 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.

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.

View all 774

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

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.

Verify at the official NPI Registry.