Jackson Clinic Pharmacy Inc
Jackson Clinic Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Jackson, TN, holding Type 2 (organization) NPI 1831228618 since 2007. The authorized official on file is Jean Gray Hunderup, Pharmacist in Charge Noah.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1831228618 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Clinic Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 2863 HIGHWAY 45 BYP, Jackson, TN, 38305 |
| Phone | 7316648046 |
| Fax | 7316608339 |
| Enumeration date | 2007-03-05 |
| Last updated in NPPES | 2015-05-29 |
Authorized official
| Name | Jean Gray Hunderup |
|---|---|
| Title | Pharmacist in Charge Noah |
| Phone | 7316648046 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2987 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2091766 | Other | — | PK |
Copy-ready billing details
Provider: Jackson Clinic Pharmacy Inc NPI: 1831228618 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2863 HIGHWAY 45 BYP, Jackson, TN, 38305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285629386 | Jackson Clinic PA | Organization | Internal Medicine Physician | Jackson, TN |
| 1518952514 | James Diffee | Individual | Internal Medicine Physician | Jackson, TN |
| 1134114150 | David Garey | Individual | Family Medicine Physician | Jackson, TN |
| 1386639136 | Mary Anderson | Individual | Internal Medicine Physician | Jackson, TN |
| 1205821998 | Salomon Asmar | Individual | Hematology (Internal Medicine) Physician | Jackson, TN |
| 1891780474 | William Bryan | Individual | Family Medicine Physician | Jackson, TN |
| 1629063227 | Robert Gilroy | Individual | Pulmonary Disease Physician | Jackson, TN |
| 1992772255 | Dana Hager | Individual | Pulmonary Disease Physician | Jackson, TN |
Verify this record
Cross-check NPI 1831228618 against the authoritative CMS record: view Jackson Clinic Pharmacy Inc on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Jackson Clinic Pharmacy Inc?
Who is the authorized official for Jackson Clinic Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-29.