JACKSON CLINIC PHARMACY INC (NPI# 1477668416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477668416 |
| Entity Type | Organization |
| Organization Name | JACKSON CLINIC PHARMACY INC |
| Other Organization Name | JACKSON CLINIC PHARMACY |
| Practice Address |
616 W Forest Ave Jackson TN 38301-3902 |
| Practice Telephone | 7314220232 |
| Practice Fax Number | 7314220389 |
| Mailing Telephone | 7314220232 |
| Mailing Fax Number | 7314220389 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-06-12 |
| Authorized Official Name | DARLENE PATTON (PHCY DIR) |
| Authorized Official Telephone | 7314220232 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
454 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2095588 | 01 |
| Other Name | Type Code |
|---|---|
| JACKSON CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831228618 | Jackson Clinic Pharmacy Inc | Pharmacy | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2007-03-05 |
| Street Address |
616 W FOREST AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306831425 | James R Appleton Jr. | Urology | 616 W Forest Ave, Jackson, TN 38301-3902 | 2005-09-14 |
| 1588180806 | Tina Lum | Nurse Practitioner | 616 W Forest Ave, Jackson, TN 38301-3902 | 2017-08-17 |
| 1356891451 | West Tennessee Rehabilitation Hospital, LLC | Rehabilitation Hospital | 616 W Forest Ave, Jackson, TN 38301-3902 | 2016-10-12 |
| 1134455850 | Nekayeh Pennington Carothers | Nurse Practitioner | 616 W Forest Ave, Jackson, TN 38301-3902 | 2009-10-30 |
| 1316125024 | Laura Ashley Ermenc | Anesthesiology | 616 W Forest Ave, Jackson, TN 38301-3902 | 2008-02-05 |
| 1760541817 | Sabrina Elizabeth Harper | Pharmacy Technician | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-12-06 |
| 1871686261 | Julian Bruce Hinton Jr. | Pharmacist | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-09-30 |
| 1376647545 | Jackson Clinic Pa | Clinical Medical Laboratory | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-09-11 |
| 1346284379 | Benny Loyd Harper | Physical Therapist | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-06-16 |
| 1548221781 | G. Baker Hubbard Ambulatory Surgery Center | Clinic/Center | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922319383 | Advance Pharmacy Services Pllc | Pharmacy | 317 N Parkway Ste 400, Jackson, TN 38305-2713 | 2010-06-30 |
| 1417090093 | University Pavilion Pharmacy | Pharmacy | 1410 E Woodrow Wilson Dr, Jackson, MS 39216 | 2007-02-14 |
| 1912452921 | Sports Medicine Pharmacy LLC | Pharmacy | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-08-19 |
| 1386863314 | State of Tennessee | Pharmacy | 295 Summar Dr, Jackson, TN 38301-3905 | 2007-04-25 |
| 1629109780 | Joint Venture Pharmacy, Inc. | Pharmacy | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2007-03-08 |
| 1831228618 | Jackson Clinic Pharmacy Inc | Pharmacy | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574332 | Rutherford County Primary Care | Pharmacy | 1701 N Main St Ste E, Shelbyville, TN 37160-2301 | 2020-10-06 |
| 1932764941 | Take Charge Nutrition, LLC | Pharmacy | 1690 25th St Nw Ste D, Cleveland, TN 37311-3613 | 2019-05-06 |
| 1902961113 | C Michael Jones Mdpc | Pharmacy | 7710 Wolf River Cir, Germantown, TN 38138-1734 | 2006-12-27 |
| 1194829150 | Clinic Pharmacy Inc | Pharmacy | 1 Hermitage Ave, Nashville, TN 37210-2109 | 2006-09-12 |
| 1932725611 | Shelby County Health Care Corporation | Pharmacy | 1588 Union Ave, Memphis, TN 38104-3729 | 2020-06-18 |
| 1437790375 | Nashville Pharmacy Services LLC | Pharmacy | 1925 Ailor Ave, Knoxville, TN 37921-5804 | 2019-10-02 |
| 1972015121 | Nashville Pharmacy Services LLC | Pharmacy | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2017-10-27 |
| 1972952976 | Dar Salud Care Pllc | Pharmacy | 1068 Cresthaven Rd, Suite 300, Memphis, TN 38119-0800 | 2016-06-09 |
| 1154780716 | East Tennessee State University | Pharmacy | 2151 Century Ln, Johnson City, TN 37604-4469 | 2016-02-11 |
| 1871966499 | Hcchc Pharmacy | Pharmacy | 629 Nuckolls Rd, Suite A, Bolivar, TN 38008-1599 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.