NPIMap

Christ Community Health Services, Inc.

Organization Active NPI Community/Retail Pharmacy · Jackson, TN

NPI 1558028670 · NPPES record last updated Jun 18, 2025

Key facts

NPI
1558028670
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
CHRIST COMMUNITY HEALTH SERVICES, INC.
Practice address
655 Lexington Ave
Jackson, TN 38301-5075
Phone
(731) 213-6900
NPI assigned
Nov 23, 2021
Organization subpart
No

Authorized official

Name
Tracy McDaniel
Title
Ceo
Phone
(901) 842-3160

Corporate family (same tax ID) 22

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

National Provider Directory

Tax ID family
Christ Community Health Services Inc (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

655 Lexington Ave
Jackson, TN 38301-5075

Mailing address

2670 Union Avenue Ext Ste 1000
Memphis, TN 38112-4416
Phone (901) 842-3160

Other identifiers

IdentifierTypeStateIssuer
Q070697MedicaidTN

Other names

  • Jackson Pharmacy Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2025.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1558028670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 UNION AVENUE EXT STE 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124416",
            "telephone_number": "901-842-3160",
            "fax_number": "901-842-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LEXINGTON AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015075",
            "telephone_number": "731-213-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-842-3160"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q070697",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jackson Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, TN

All providers in Jackson, TN · Community/Retail Pharmacy in Tennessee

Sources for this page

Verify at the official NPI Registry.