CHARLES MICHAEL JACKSON
NPI 1730539198
Pharmacist in Tullahoma, TN

Active since June 16, 2016
909 N WASHINGTON ST, TULLAHOMA, TN 37388(931) 455-1423(931) 455-5204 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Michael Jackson NPPES

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

CHARLES MICHAEL JACKSON (NPI 1730539198) is an individual pharmacist in Tullahoma, Tennessee, licensed in Tennessee (5714) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1730539198
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCHARLES MICHAEL JACKSON
Location Address909 N WASHINGTON STTullahoma, TN 37388-2313
Mailing Address909 N Washington StTullahoma, TN 37388-2313 · (931) 455-1423 · Fax (931) 455-5204
Fax(931) 455-5204
Sole ProprietorYes
Enumeration DateJune 16, 2016
NPI 1730539198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TN · 5714
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

909 N WASHINGTON ST, Tullahoma, TN 37388

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
909 N WASHINGTON ST
TULLAHOMA, TN 37388
Pharmacist
909 N WASHINGTON ST
TULLAHOMA, TN 37388
Durable Medical Equipment & Medical Supplies
909 N WASHINGTON ST
TULLAHOMA, TN 37388

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730539198, enumerated as an "individual" on June 16, 2016.

The provider is located at 909 N WASHINGTON ST TULLAHOMA, TN 37388 and the phone number is (931) 455-1423.

Pharmacist with taxonomy code 183500000X.