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ST JUDE CHILDREN'S RESEARCH HOSPITAL INC. NPI 1164433710


NPI Information

NPI: 1164433710
Provider Name: ST JUDE CHILDREN'S RESEARCH HOSPITAL, INC.

Other Name: ST JUDE HOSPITAL PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-2237
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ST JUDE CHILDREN'S RESEARCH HOSPITAL, INC. is a clinic pharmacy pharmacy in Memphis, TN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ST JUDE CHILDREN'S RESEARCH HOSPITAL, INC. NPI is 1164433710. The provider is registered as an organization entity type.
The provider Other Name Is St Jude Hospital Pharmacy.

The provider's business location address is:

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105-678
Phone: (901) 595-2237
Fax: (901) 595-3111

The provider's authorized official is William Humphrey .
The authorized official title is Director and has the following contact phone number (901) 595-2233.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic Pharmacy843TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12088542OTHERPK
200330645MEDICAIDMISSISSIPPI
34414431MEDICAIDTENNESSEE
4145570407MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.