Organization · Type 2 NPI

Jackson Madison County General Hospital

Community/Retail Pharmacy · Jackson, TN

NPI number 1053011791 Active

Practice location

367 Hospital Boulevard, 1st Floor Suite 101
Jackson, TN 38305-2080

Call (731) 661-2260 Map

Fax (731) 661-2261

Mailing address

367 Hospital Blvd
Jackson, TN 38305-2080

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Other community/retail pharmacy providers in Jackson

See all in Jackson →

NPI record

NPI: 1053011791
Entity type: Organization (Type 2)
Issued: Mar 9, 2023
Last updated: Feb 27, 2026
Status: Active
Subpart: Yes of Jackson Madison County General Hospital

Other names

<unavail>
West Tennessee Healthcare Specialty Pharmacy · doing business as
West Tennessee Healthcare Specialty Pharmacy · doing business as

Authorized official

William McMinn
Execuitve Director of Pharmacy
(731) 541-6229

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1053011791

Jackson Madison County General Hospital's National Provider Identifier is 1053011791, issued on Mar 9, 2023. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jackson, TN. The record was last updated on Feb 27, 2026.