JACKSON PHARMACY INC – NPI #1790547701
Pharmacy

JACKSON PHARMACY INC is a pharmacy located in JACKSON, MO. NPPES recently assigned the NPI number 1790547701 to JACKSON PHARMACY INC on January 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336L0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy specializing in Long Term Care Pharmacy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON PHARMACY INC below.

NPI Profile for
JACKSON PHARMACY INC

NPI Number
1790547701
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON PHARMACY INC
Primary location
200 W WASHINGTON ST
JACKSON, MO 63755-1858
Phone: (573) 243-1303 Fax: (573) 243-1254
Mailing address
755 S NEW BALLAS RD STE 260
SAINT LOUIS, MO 63141-8744
Phone: (314) 965-4700 Fax: (314) 965-4706
Organization Subpart
No
Authorized Official
STEPHEN SOMMER
PRESIDENT
Phone: (314) 965-4700
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336L0003X
- Pharmacy / Long Term Care Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.