MEDICARE: ACCREDO HEALTH GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336H0001X	Home Infusion Therapy Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336S0011X	Specialty Pharmacy
4	3336M0002X	Mail Order Pharmacy
5	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1508016197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCREDO HEALTH GROUP INC.

Provider Business Mailing Address
First Line	:	1640 CENTURY CENTER PKWY
Second Line	:	SUITE 101
City	:	MEMPHIS
State	:	TN
Zip	:	38134-8822
Country	:	US
Telephone Number	:	901-381-7141
Fax Number	:	901-261-6924

Provider Business Practice Location Address
First Line	:	1640 CENTURY CENTER PKWY
Second Line	:	SUITE 101
City	:	MEMPHIS
State	:	TN
Zip	:	38134-8822
Country	:	US
Telephone Number	:	901-381-7141
Fax Number	:	901-261-6924

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	MRS. VICTOR PERINI
Credential	:
Telephone Number	:	314-684-6750

Provider Enumeration Date	:	09/19/2008
Last Update Date	:	12/05/2025

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