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SHELBY COUNTY HEALTH CARE CORPORATION NPI 1316428410


NPI Information

NPI: 1316428410
Provider Name: SHELBY COUNTY HEALTH CARE CORPORATION

Doing Business As: REGIONAL ONE HEALTH PHARMACY S. THIRD ST.

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1977 S 3RD ST
MEMPHIS, TN
ZIP 38109
Phone: (901) 515-4646
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SHELBY COUNTY HEALTH CARE CORPORATION 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. SHELBY COUNTY HEALTH CARE CORPORATION NPI is 1316428410. The provider is registered as an organization entity type.
The provider Is Doing Business As Regional One Health Pharmacy S. Third St..

The provider's business location address is:

1977 S 3RD ST
MEMPHIS, TN
ZIP 38109-713
Phone: (901) 515-4646
Fax: (901) 515-4649

The provider's authorized official is Kay Ryan .
The authorized official title is Pharmacy Director and has the following contact phone number (901) 545-7840.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 1/11/2024.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0002XPharmacyClinic PharmacyYes

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
1Q045253MEDICAIDTENNESSEE
24451186OTHERNCPDP

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

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