MEDICARE: ANDREA BEATTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	46588	TN

General Provider Information

NPI Number	:	1184346058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA BEATTY

Provider Business Mailing Address
First Line	:	1332 N HIGHLAND AVE
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38301-4019
Country	:	US
Telephone Number	:	731-427-4992
Fax Number	:	731-427-2456

Provider Business Practice Location Address
First Line	:	1332 N HIGHLAND AVE
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38301-4019
Country	:	US
Telephone Number	:	731-427-4992
Fax Number	:	731-427-2456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2022
Last Update Date	:	05/09/2023

Similar Medicare Providers

1184639288 — WALGREEN CO
Practice Location Address:

1332 N HIGHLAND AVE
JACKSON, TN
38301-4019

Practice Phone: 731-427-4992
Practice Fax: 731-427-2456

1639481609 — MARVIN MCKENZIE PHARMD
Practice Location Address:

1332 NORTH HIGHLAND AVENUE
JACKSON, TN
38301-4019

Practice Phone: 731-427-4992
Practice Fax: 731-427-2456

1487267191 — JESSICA HOPE WEBSTER
Practice Location Address:

1332 N HIGHLAND AVE
JACKSON, TN
38301-4019

Practice Phone: 731-427-4992
Practice Fax:

1558932509 — DAVID RODAMAKER PHARMD.
Practice Location Address:

1332 N HIGHLAND AVE
JACKSON, TN
38301-4019

Practice Phone: 731-427-4992
Practice Fax:

1275213134 — DR. GARRET MORGAN STEELMAN PHARM.D.
Practice Location Address:

1332 N HIGHLAND AVE
JACKSON, TN
38301-4019

Practice Phone: 731-427-4992
Practice Fax:

1609873454 — SHAWN EDWARD HUMPHRIES MPT
Practice Location Address:

252 STRICKLAND PASTURE RD
JACKSON, GA
30233-4019

Practice Phone: 706-329-5108
Practice Fax:

Directions to “ ANDREA BEATTY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.