DAR SALUD CARE PLLC NPI 1598018806

NPI Information

NPI: 1598018806
Provider Name: DAR SALUD CARE PLLC

Doing Business As: DAR SALUD PHARMACY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
1068 CRESTHAVEN RD STE 300
MEMPHIS, TN
ZIP 38119
Phone: (901) 683-0024
Get Directions

DAR SALUD CARE PLLC is a family medicine in Memphis, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DAR SALUD CARE PLLC NPI is 1598018806. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dar Salud Pharmacy.

The provider's business location address is:

1068 CRESTHAVEN RD STE 300
MEMPHIS, TN
ZIP 38119-809
Phone: (901) 683-0024
Fax: (901) 683-0086

The provider's authorized official is Andrea Fuller .
The authorized official title is Billing And Credentialing Manager and has the following contact phone number (901) 922-5951.

The CLIA number assigned to this NPI record is 44D2283082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2012 and was last updated on 4/6/2020.

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	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	No
4	363AM0700X	Physician Assistant	Medical	No
5	363LF0000X	Nurse Practitioner	Family	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
7	207Q00000X	Family Medicine		Yes
8	152W00000X	Optometrist		No
9	207R00000X	Internal Medicine		No
10	3336C0002X	Pharmacy	Clinic 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	1519872	MEDICAID	TENNESSEE
2	2158680	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

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