St. Dominic-jackson Memorial Hospital
Institutional Pharmacy
969 Lakeland Dr, Jackson
Mississippi, 39216-4606
601-200-6000 601-321-5170
St. Dominic-jackson Memorial Hospital is a Institutional Pharmacy in Jackson, Mississippi. It is located at 969 Lakeland Dr, Jackson and it's customer support contact number is 601-200-6000. The authorized person of St. Dominic-jackson Memorial Hospital is Samuel Thaddeus Scott who is Cfo of the pharmacy and his contact number is 601-200-6570. Active license number of St. Dominic-jackson Memorial Hospital is 0101003.1 for Institutional Pharmacy in Mississippi.
St. Dominic-jackson Memorial Hospital is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
Pharmacy Details:
St. Dominic-jackson Memorial Hospital type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | St. Dominic-jackson Memorial Hospital |
| Type: | Institutional Pharmacy |
| Location: | 969 Lakeland Dr, Jackson,
Mississippi, 39216-4606 |
| Phone: | 601-200-6000 |
| Fax: | 601-321-5170 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Samuel Thaddeus Scott |
| Position: | Cfo |
| Contact Number: | 601-200-6570 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1003979386 |
| NPI Enumeration Date: | 18 Dec, 2006 |
| NPI Last Update On: | 13 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St. Dominic-jackson Memorial Hospital are as mentioned below.
| Specialization | License Number | State | Status | |
| Institutional Pharmacy | 0101003.1 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 20034 | Other | Mississippi | Blue Cross |
| 000020034 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 969 Lakeland Dr,
Jackson, Mississippi |
| Zip: | 39216-4606 |
| Phone Number: | 601-200-6000 |
| Fax Number: | 601-321-5170 |
Patients can reach St. Dominic-jackson Memorial Hospital at
969 Lakeland Dr, Jackson, Mississippi or can
call on customer care at 601-200-6000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.