JEFFERSON COMPOUNDING CENTER
NPI 1619195351
Pharmacy - Community/Retail Pharmacy in Oak Ridge, TN

Q: What is Jack W Greene, Dba's NPI number?

The NPI number for Jack W Greene, Dba is 1619195351. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Jefferson Compounding Center.

Q: What is Jack W Greene, Dba's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since April 20, 2007

22 N JEFFERSON CIR, OAK RIDGE, TN 37830(865) 483-3007(865) 483-3071 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Jefferson Compounding Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON COMPOUNDING CENTER (NPI 1619195351) is a healthcare organization registered as a community/retail pharmacy in Oak Ridge, Tennessee and active in the NPI registry since April 2007. The organization lists Jack W Greene, Owner-pharmacist, as its authorized official.

NPPES Registry Identity

NPI1619195351

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameJACK W GREENE, DBA

Location Address22 N JEFFERSON CIROak Ridge, TN 37830-4805

Mailing Address22 N Jefferson CirOak Ridge, TN 37830-4805 · (865) 483-3007 · Fax (865) 483-3071

Phone(865) 483-3007

Fax(865) 483-3071

Organization SubpartNo

Authorized OfficialJack W GreeneOwner-pharmacist · (865) 483-3007

Enumeration DateApril 20, 2007

Last NPPES UpdateJuly 18, 2007

✔ NPI 1619195351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TN · 1122

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

22 N JEFFERSON CIR, Oak Ridge, TN 37830

Open in Google Maps ↗

Other Names 1

Doing Business AsJefferson Compounding Center

Other Identifiers 2

Other4410673TN · Ncpdp

Other1122TN · St Of Tn Board Of Pharmac

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack W Greene, Dba's NPI number?

The NPI number for Jack W Greene, Dba is 1619195351. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Jefferson Compounding Center.

Where is Jack W Greene, Dba located?

Jack W Greene, Dba is located at 22 N Jefferson Cir, Oak Ridge, TN 37830. The listed phone number is (865) 483-3007.

What is Jack W Greene, Dba's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Jack W Greene, Dba was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.