Organization
MEDIPHARM INC
Active
Organization
MEDIPHARM INC
Active
Other names
MediPharm Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHIEMEZIE OTI (PHARMACY DIRECTOR)
(870) 394-4209
Entity
Organization
Contact information
Practice address
125 W POLK AVE, WEST MEMPHIS, AR 72301-4264
(870) 394-4209
(901) 382-9966
Mailing address
125 W POLK AVE, WEST MEMPHIS, AR 72301-4264
(870) 394-4209
(901) 382-9966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20617
AR
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423311
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/14/2009
Last updated
02/10/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up