Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2

Pharmacy in Jefferson City, TN · enumerated 2016 · authorized official Joshua Blake, Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073979522

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2

Other name <Unavail>

Practice address 657 E Broadway Blvd, Jefferson City, TN, 37760

Phone (865) 262-9777

Fax (865) 262-9778

Enumeration date Jan 13, 2016

Last updated in NPPES May 28, 2020

Taxonomy & classification

333600000X Pharmacy Suppliers Primary

3336C0003X Community/Retail Pharmacy Suppliers · License 5720 (TN) Secondary

3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Joshua Blake

Title Pic

Phone (865) 262-9777

Other identifiers

Identifier	Type	State	Issuer
2157383	Other	-	PK
Q033187	Medicaid	TN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2?

The NPI for Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2 is 1073979522, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2?

NPPES lists Joshua Blake (Pic) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-28.