OrganizationActiveAccepts Medicare
West Tn Pharmaceutical Care, LLC
NPI 1114156403 · Long Term Care Pharmacy · Jackson, TN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1114156403
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donna Shofe, Member, Manager(731) 554-9872
- License
- 4669 (TN)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 Nolan Cv
Jackson, TN 38305
Phone: (731) 554-9872
Fax: (731) 554-9874
Street-level locationGet directions
Mailing address
24 Nolan Cove
Jackson, TN 38305
Registry dates
- Enumerated
- 2009-07-07
- Last updated
- 2019-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.