ACCREDO HEALTH GROUP INC NPI 1275740474

NPI Information

NPI: 1275740474
Provider Name: ACCREDO HEALTH GROUP INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1620 CENTURY CENTER PKWY
SUITE 109
MEMPHIS, TN
ZIP 38134
Phone: (901) 385-3600
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ACCREDO HEALTH GROUP INC is a pharmacy in Memphis, TN. The provider is 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. ACCREDO HEALTH GROUP INC NPI is 1275740474. The provider is registered as an organization entity type.

The provider's business location address is:

1620 CENTURY CENTER PKWY
SUITE 109
MEMPHIS, TN
ZIP 38134-849
Phone: (901) 385-3600
Fax: (901) 385-3777

The provider's authorized official is Vic Perini .
The authorized official title is Assistant Secretary and has the following contact phone number (314) 684-6924.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/2/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336M0002X	Pharmacy	Mail Order Pharmacy			No
2	3336S0011X	Pharmacy	Specialty Pharmacy			No
3	333600000X	Pharmacy		3946	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0103012	MEDICAID	NEW JERSEY
2	100245100C	MEDICAID	KENTUCKY
3	1455112	MEDICAID	TENNESSEE
4	4094506-00	MEDICAID	MARYLAND
5	927957	MEDICAID	ARIZONA
6	158995407	MEDICAID	ARKANSAS
7	160980000	MEDICAID	MAINE
8	188488300	MEDICAID	MINNESOTA
9	4090811	MEDICAID	TENNESSEE
10	4436920	MEDICAID	TENNESSEE
11	0102997	MEDICAID	NEW JERSEY
12	2487385	MEDICAID	OHIO
13	508187	MEDICAID	HAWAII
14	8095002	MEDICAID	WASHINGTON
15	09824589	MEDICAID	MISSISSIPPI
16	100245100C	MEDICAID	OKLAHOMA
17	4105365	MEDICAID	TENNESSEE
18	54008214	MEDICAID	KENTUCKY
19	6027692	MEDICAID	WASHINGTON
20	02718770	MEDICAID	NEW YORK
21	09753251	MEDICAID	MISSISSIPPI
22	200494710A	MEDICAID	INDIANA
23	4436920	MEDICAID	MICHIGAN
24	603030503	MEDICAID	MISSOURI
25	99102048	MEDICAID	NEW MEXICO
26	0578625	MEDICAID	IOWA
27	1007777870023	MEDICAID	PENNSYLVANIA
28	113194005	MEDICAID	WYOMING
29	30703864	MEDICAID	NEW HAMPSHIRE
30	806981800	MEDICAID	IDAHO
31	8533812	MEDICAID	SOUTH DAKOTA
32	PH536TN	MEDICAID	ALASKA
33	035891400	MEDICAID	DISTRICT OF COLUMBIA
34	200445	MEDICAID	INDIANA
35	21460	MEDICAID	NORTH DAKOTA
36	1346208949	MEDICAID	MONTANA
37	2095288	OTHER		PK

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

NPI Synchronization or Removal

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.

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