NPIMap

Organization Active NPI

Jackson Madison County General Hospital

Doing business as West Tennessee Healthcare Specialty Pharmacy

  • Community/Retail Pharmacy
  • Jackson, TN
National Provider Identifier
1053011791
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JACKSON MADISON COUNTY GENERAL HOSPITAL
Doing business as
West Tennessee Healthcare Specialty Pharmacy
Practice address
367 Hospital Boulevard
1St Floor Suite 101
Jackson, TN 38305-2080
Phone
(731) 661-2260
Fax
(731) 661-2261
NPI assigned
Mar 9, 2023
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON MADISON COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William McMinn
Title
Execuitve Director of Pharmacy
Phone
(731) 541-6229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

367 Hospital Boulevard
1St Floor Suite 101
Jackson, TN 38305-2080

Mailing address

367 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 661-2260

Other names 1

  • West Tennessee Healthcare Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101001003 TN DME Supplier - Pharmacy 3678481975 Practice locations: Jackson, TN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Jackson Madison Cty Gen Hospital367 Hospital Blvd, Jackson, TN 38305-2080(731) 661-2260 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
East Jackson Family Me11 organizations share this tax ID, including this one
Part of
East Jackson Family Me

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

367 Hospital Blvd
Fl 1
Jackson, TN 38305
Phone (731) 661-2260

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Tennessee Healthcare Milan HospitalMilan, TN, CCN 440060 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 27, 1998
West Tennessee Healthcare Milan HospitalMilan, TN, CCN 44U060 Hospital 5% Or Greater Direct Ownership Interest (5%) Aug 24, 1998
Jackson Madison County General HospitalJackson, TN, CCN 440002 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2007
West Tennessee Healthcare Rehabilitation Hospital Jackson, a PartnershJackson, TN, CCN 443036 Hospital 5% Or Greater Direct Ownership Interest (50%) Oct 8, 2015
West Tennessee Healthcare Rehabilitation Hospital Cane Creek, a PartneMartin, TN, CCN 443030 Hospital 5% Or Greater Direct Ownership Interest (50%) Jul 1, 2017
West Tennessee Healthcare Rehabilitation Hospital Cane Creek, a PartneMartin, TN, CCN 44Y030 Hospital 5% Or Greater Direct Ownership Interest (50%) Jul 1, 2017
West Tennessee Healthcare Volunteer HospitalMartin, TN, CCN 440061 Hospital Operational/Managerial Control Jan 2, 2019
West Tennessee Healthcare Dyersburg HospitalDyersburg, TN, CCN 440072 Hospital 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (50%)		 Jun 1, 2018
Jun 1, 2018
Select Specialty Hospital - West TennesseeJackson, TN, CCN 442018 Hospital 5% Or Greater Direct Ownership Interest (15%) Mar 1, 2023
Extendicare Home Health of Western TennesseeUnion City, TN, CCN 447434 Home health agency 5% Or Greater Indirect Ownership Interest (33%) Oct 1, 2008
Extendicare Home Health of West TennesseeDyersburg, TN, CCN 447284 Home health agency 5% Or Greater Indirect Ownership Interest (33%) Sep 1, 2007
Medical Center Home Health, LLCJackson, TN, CCN 447101 Home health agency 5% Or Greater Indirect Ownership Interest (33%) Oct 1, 2008
Hospice of West TennesseeJackson, TN, CCN 441514 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1986
West Tennessee Medical Group Primary Care CaruthersvilleCaruthersville, MO, CCN 793800 Rural health clinic Operational/Managerial Control Jun 1, 2018

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1053011791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052080",
            "telephone_number": "731-661-2260",
            "fax_number": "731-661-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 HOSPITAL BOULEVARD",
            "address_2": "1ST FLOOR SUITE 101",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052080",
            "telephone_number": "731-661-2260",
            "fax_number": "731-661-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MADISON COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON MADISON COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "MCMINN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUITVE DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "731-541-6229"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Tennessee Healthcare Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Tennessee Healthcare Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.