First Pharmacy Services of Park Ave Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4571 Issued in TN

Legal business name

FIRST PHARMACY SERVICES OF PARK AVE INC

Doing business as

First Pharmacy Services of Park Ave

Practice address

6005 Park Ave Ste 630B
Memphis, TN 38119-5226

Phone

(901) 821-8330

Fax

(901) 821-8350

NPI assigned

Oct 10, 2008

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise PrattNPI 1811146277

Title

Pharmacist

Phone

(901) 821-8330

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• First Pharmacy Services of Park Ave Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Denise M Pratt, PHARM D

  • Pharmacist
  • Memphis, TN
  • NPI 1811146277
  Authorized official Same address or phone

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1982855763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "POPE",
            "state": "MS",
            "postal_code": "38658",
            "telephone_number": "901-946-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195226",
            "telephone_number": "901-821-8330",
            "fax_number": "901-821-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHARMACY SERVICES OF PARK AVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "901-821-8330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4571",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Pharmacy Services of Park Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.