ACCREDO HEALTH GROUP INC NPI 1346208949

NPI Information

NPI: 1346208949
Provider Name: ACCREDO HEALTH GROUP INC

Doing Business As: ACCREDO HEALTH GROUP INC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1620 CENTURY CENTER PKWY STE 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 1346208949. The provider is registered as an organization entity type.
The provider Is Doing Business As Accredo Health Group Inc.

The provider's business location address is:

1620 CENTURY CENTER PKWY STE 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) 684-6750.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 7/26/2021.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	333600000X	Pharmacy		3946	TENNESSEE	Yes
3	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No
5	3336S0011X	Pharmacy	Specialty Pharmacy			No

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	010234417	MEDICAID	VIRGINIA
2	09824589	MEDICAID	MISSISSIPPI
3	21460	MEDICAID	NORTH DAKOTA
4	54008214	MEDICAID	KENTUCKY
5	02718770	MEDICAID	NEW YORK
6	188488300	MEDICAID	MINNESOTA
7	2093994	OTHER		PK
8	603030503	MEDICAID	MISSOURI
9	8533812	MEDICAID	SOUTH DAKOTA
10	035891400	MEDICAID	DISTRICT OF COLUMBIA
11	100245100C	MEDICAID	OKLAHOMA
12	158995407	MEDICAID	ARKANSAS
13	4436920	MEDICAID	MICHIGAN
14	8095002	MEDICAID	WASHINGTON
15	0103012	MEDICAID	NEW JERSEY
16	09753251	MEDICAID	MISSISSIPPI
17	1346208949	MEDICAID	MONTANA
18	4094506-00	MEDICAID	MARYLAND
19	99102048	MEDICAID	NEW MEXICO
20	0578625	MEDICAID	IOWA
21	113194005	MEDICAID	WYOMING
22	160980000	MEDICAID	MAINE
23	30703864	MEDICAID	NEW HAMPSHIRE
24	508187	MEDICAID	HAWAII
25	806981800	MEDICAID	IDAHO
26	927957	MEDICAID	ARIZONA
27	PH536TN	MEDICAID	ALASKA
28	1007777870023	MEDICAID	PENNSYLVANIA
29	200445	MEDICAID	INDIANA
30	200494710A	MEDICAID	INDIANA
31	2487385	MEDICAID	OHIO
32	6027692	MEDICAID	WASHINGTON
33	0102997	MEDICAID	NEW JERSEY
34	1455112	MEDICAID	TENNESSEE

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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