Organization
VANTREESE DISCOUNT PHARMACY INC
Active
Other names
VANTREESE DISCOUNT PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TODD GEAN PHARMD (OWNER)
(731) 423-0316
Entity
Organization
Contact information
Practice address
1463 S HIGHLAND AVE, SUITE A, JACKSON, TN 38301-7543
(731) 423-0316
(731) 424-5124
Mailing address
1463 S HIGHLAND AVE, SUITE A, JACKSON, TN 38301-7543
(731) 423-0316
(731) 424-5124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
290
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455247
—
TN
01
—
2088846
PK
—
05
—
9448434
—
TN
Enumeration date
10/20/2006
Last updated
07/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us