Accredo Health Group Inc, NPI 1346208949
Pharmacy in Memphis, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1346208949 |
| NPI Entity Type | Organization |
| Provider Name |
Accredo Health Group Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1620 Century Center Pkwy Ste 109, Memphis, TN, US |
| Provider Mailing Address | Po Box 954041, Saint Louis, MO, US, 631950001 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Vic Perini |
| Official Position | ASSISTANT SECRETARY |
| Phone | 314-684-6750 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | 3946 |
| License State | TN |
| Description | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 02718770 | NY | MEDICAID | 05 |
| 035891400 | DC | MEDICAID | 05 |
| 09753251 | MS | MEDICAID | 05 |
| 158995407 | AR | MEDICAID | 05 |
| 188488300 | MN | MEDICAID | 05 |
| 0578625 | IA | MEDICAID | 05 |
| 100245100C | OK | MEDICAID | 05 |
| 1007777870023 | PA | MEDICAID | 05 |
| 1346208949 | MT | MEDICAID | 05 |
| 1455112 | TN | MEDICAID | 05 |
| 160980000 | ME | MEDICAID | 05 |
| 2093994 | PK | 01 | |
| 21460 | ND | MEDICAID | 05 |
| 99102048 | NM | MEDICAID | 05 |
| 200445 | IN | MEDICAID | 05 |
| 200494710A | IN | MEDICAID | 05 |
| 6027692 | WA | MEDICAID | 05 |
| 8533812 | SD | MEDICAID | 05 |
| 010234417 | VA | MEDICAID | 05 |
| 0103012 | NJ | MEDICAID | 05 |
| 4094506-00 | MD | MEDICAID | 05 |
| 927957 | AZ | MEDICAID | 05 |
| PH536TN | AK | MEDICAID | 05 |
| 0102997 | NJ | MEDICAID | 05 |
| 09824589 | MS | MEDICAID | 05 |
| 2487385 | OH | MEDICAID | 05 |
| 54008214 | KY | MEDICAID | 05 |
| 603030503 | MO | MEDICAID | 05 |
| 113194005 | WY | MEDICAID | 05 |
| 508187 | HI | MEDICAID | 05 |
| 30703864 | NH | MEDICAID | 05 |
| 4436920 | MI | MEDICAID | 05 |
| 806981800 | ID | MEDICAID | 05 |
| 8095002 | WA | MEDICAID | 05 |
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|---|---|---|---|
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M.D. David D. Buckman Individual |
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Jessica Gomez Individual |
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Park Center Organization |
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DR. M.D. Melissa Lynn Mckittrick Individual |
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|
FNP-BC Misty Renee Nichols Individual |
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MD Douglas Todd Cannon Individual |
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Dovamed Medical Organization |
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|
Taylor Woods Individual |
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|
MRS. PA-C Brittany C Smith Individual |
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