STATE OF TENNESSEE NPI 1386863314

NPI Information

  • NPI: 1386863314
  • Provider Name: STATE OF TENNESSEE
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Other Name: WEST TENNESSEE REGIONAL HEALTH PHARMACY
  • Address: 295 SUMMAR DR
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 421-6732

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NPI Details

STATE OF TENNESSEE is a clinic pharmacy pharmacy in Jackson, TN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. STATE OF TENNESSEE NPI is 1386863314. The provider is registered as an organization entity type.
The provider Other Name Is West Tennessee Regional Health Pharmacy.

The provider's business location address is:

295 SUMMAR DR
JACKSON, TN
ZIP 38301-905
Phone: (731) 421-6732
Fax: (731) 935-7093

The provider's authorized official is Marilyn Barnes .
The authorized official title is Regional Director and has the following contact phone number (731) 421-6700.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 9/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic Pharmacy443TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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