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Contact Information

ACCREDO HEALTH GROUP INC
1620 CENTURY CENTER PKWY STE 109
MEMPHIS, TN38134-8849
 Phone: 901-385-3600
 Fax: 888-302-1028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ACCREDO HEALTH GROUP INC

NPI # 1346208949
LBN Legal business name ACCREDO HEALTH GROUP INC
Authorized official VIC PERINI - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 02/17/2025 - More than a year ago
Identifiers
TN License # 3946
AK Medicaid PH536TN
AR Medicaid 158995407
AZ Medicaid 927957
DC Medicaid 035891400
HI Medicaid 508187
IA Medicaid 0578625
ID Medicaid 806981800
IN Medicaid 200445
IN Medicaid 200494710A
KY Medicaid 54008214
MD Medicaid 4094506-00
ME Medicaid 160980000
MI Medicaid 4436920
MN Medicaid 188488300
MO Medicaid 603030503
MS Medicaid 09753251
MS Medicaid 09824589
MT Medicaid 1346208949
ND Medicaid 21460
NH Medicaid 30703864
NJ Medicaid 0102997
NJ Medicaid 0103012
NM Medicaid 99102048
NY Medicaid 02718770
OH Medicaid 2487385
OK Medicaid 100245100C
PA Medicaid 1007777870023
SD Medicaid 8533812
TN Medicaid 1455112
VA Medicaid 010234417
WA Medicaid 6027692
WA Medicaid 8095002
WY Medicaid 113194005
Other 2093994 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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