Organization · Type 2 NPI

Jackson-Madison County General Hospital

Community/Retail Pharmacy · Jackson, TN

NPI number 1366432122 Active

Practice location

1061 West Forest Avenue
Jackson, TN 38301-3879

Fax (731) 660-3549

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency	251F00000X	0000003211 (TN)
Durable Medical Equipment & Medical Supplies	332B00000X	419 (TN)
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	419 (TN)
Oxygen Equipment & Supplies (DME)	332BX2000X	419 (TN)
Pharmacy	333600000X	3211 (TN)
Community/Retail Pharmacy Primary	3336C0003X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	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

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NPI record

NPI: 1366432122
Entity type: Organization (Type 2)
Issued: Oct 24, 2005
Last updated: Jul 2, 2025
Status: Active
Subpart: Yes of Jackson-Madison County General Ho

Other names

<unavail>
Medical Center Medical Products Infusion Services · doing business as
Medical Center Medical Products Infusion Services · doing business as

Authorized official

Ms. Tina Prescott
President and CEO
(731) 541-5000

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.

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About NPI 1366432122

Jackson-Madison County General Hospital's National Provider Identifier is 1366432122, issued on Oct 24, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jackson, TN. The record was last updated on Jul 2, 2025.