National Provider Identifier Database

JACKSON MADISON COUNTY GENERAL HOSPITAL
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 health care providers, collaborative practice, disease state management, and education classes.


Contact Information

JACKSON-MADISON COUNTY GENERAL HOSPITAL
1061 WEST FOREST AVENUE
JACKSON, TN38301-3879
Phone: 731-660-6954
Fax: 731-660-3549
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion 251F00000X
Home Infusion Therapy Pharmacy 3336H0001X
Oxygen Equipment & Supplies 332BX2000X
Parenteral & Enteral Nutrition 332BP3500X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for JACKSON-MADISON COUNTY GENERAL HOSPITAL

NPI Number 1366432122
Legal business name
LBN
JACKSON-MADISON COUNTY GENERAL HOSPITAL
Authorized official TINA PRESCOTT - (PRESIDENT AND CEO)
Entity Organization
Organization subpart Yes
Enumeration date 10/24/2005
Last updated 07/02/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 0000003211
  • TN License #: 3211
  • TN License #: 419
  • TN Medicaid: 1452390

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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