Provider Demographics
NPI:1912533050
Name:JARED COMPANY INC
Entity type:Organization
Organization Name:JARED COMPANY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JARED
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:931-858-6337
Mailing Address - Street 1:6354 NASHVILLE HWY STE B
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:TN
Mailing Address - Zip Code:38544-3514
Mailing Address - Country:US
Mailing Address - Phone:931-858-6337
Mailing Address - Fax:931-858-0473
Practice Address - Street 1:6354 NASHVILLE HWY
Practice Address - Street 2:SUITE B
Practice Address - City:BAXTER
Practice Address - State:TN
Practice Address - Zip Code:38544
Practice Address - Country:US
Practice Address - Phone:931-858-6337
Practice Address - Fax:931-858-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ059030Medicaid