Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Hospital

Organization Pharmacy · NPI 1942847413

Southeast Hospital is a Pharmacy in Jackson, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

2600 E Main St Ste 113
Jackson, MO 63755
Phone: (573) 755-2315
Fax: (573) 519-4676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1942847413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Pharmacy Jackson
NPI enumeratedDecember 4, 2019
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address2600 E. Main Street, Suite 113, Jackson, MO 63755

Other providers in Jackson