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Contact Information

HEMOPHILIA PREFERRED CARE OF MEMPHIS INC
6423 SHELBY VIEW DR STE 104
MEMPHIS, TN38134
 Phone: 800-757-9192
 Fax: 855-813-0583
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 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
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HEMOPHILIA PREFERRED CARE OF MEMPHIS INC

NPI Number 1750533816
LBN Legal business name HEMOPHILIA PREFERRED CARE OF MEMPHIS INC
Authorized official KATHLEEN RICHMAN - (DIRECTOR OF CONTRACTS AND CREDENTIA)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2008
Last updated 01/02/2026 - About 5 months ago
Identifiers
TN License # 4559
AR Medicaid 180365407
AR Medicaid 181916741
KY Medicaid 7100116400
MD Medicaid 423097300
MO Medicaid 1750533816
MO Medicaid 606504009
MS Medicaid 09928011
OK Medicaid 200530030A
PA Medicaid 1041917270001
SC Medicaid 721231
TN Medicaid 1533122
TN Medicaid 1750533816
VA Medicaid 1750533816
Other 2117653 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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