NPIMap

Organization Active NPI

Union University

Doing business as Union University School of Pharmacy

  • Pharmacy
  • Jackson, TN
National Provider Identifier
1801127667
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UNION UNIVERSITY
Doing business as
Union University School of Pharmacy
Practice address
1050 Union University Dr
Jackson, TN 38305-3656
Phone
(731) 661-5958
Fax
(731) 661-5980
NPI assigned
Jan 19, 2010
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mark StephensNPI 1710149703
Title
Director of Experiential Edu
Phone
(731) 661-5975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1050 Union University Dr
Jackson, TN 38305-3656

Mailing address

1050 Union University Dr
Jackson, TN 38305-3656
Phone (731) 661-5958

Other identifiers 1

IdentifierTypeStateIssuer
2123374OtherPK

Other names 1

  • Union University School of Pharmacy Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0919664Union University-Student Health SVCS1050 Union University Drive, Jackson, TN 38305Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Locations

1050 Union University Dr
Jackson, TN 38305
Phone (731) 661-6591

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1801127667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053656",
            "telephone_number": "731-661-5958",
            "fax_number": "731-661-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053656",
            "telephone_number": "731-661-5958",
            "fax_number": "731-661-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF EXPERIENTIAL EDU",
        "authorized_official_telephone_number": "731-661-5975"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union University School of Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.