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

St Dominic-Jackson Memorial Hospital

Organization Institutional Pharmacy · NPI 1003979386

St Dominic-Jackson Memorial Hospital is an Institutional Pharmacy in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-6000
Fax: (601) 321-5170
Show map & directions

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

Specialties & licences

Institutional Pharmacy (primary) Taxonomy 3336I0012X · Licence 0101003.1 (MS)

Record details

NPI number1003979386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Scott — Cfo · (601) 200-6570
NPI enumeratedDecember 18, 2006
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address969 Lakeland Dr, Jackson, MS 39216-4606