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CHAMPIONS PHARMACY NPI 1770525586


NPI Information

NPI: 1770525586
Provider Name: CHAMPIONS PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2369 ELVIS PRESLEY BLVD
MEMPHIS, TN
ZIP 38106
Phone: (901) 948-6622
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CHAMPIONS PHARMACY 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. CHAMPIONS PHARMACY NPI is 1770525586. The provider is registered as an organization entity type.

The provider's business location address is:

2369 ELVIS PRESLEY BLVD
MEMPHIS, TN
ZIP 38106-744
Phone: (901) 948-6622
Fax: (901) 946-2818

The provider's authorized official is Charles Champion .
The authorized official title is Pharmacist Owner and has the following contact phone number (901) 948-6622.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy0000000293TENNESSEEYes
23336C0003XPharmacyCommunity/Retail PharmacyX

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
14418251MEDICAIDTENNESSEE
24418251OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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