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JACKSON DISCOUNT DRUG INC NPI 1124173190


NPI Information

NPI: 1124173190
Provider Name: JACKSON DISCOUNT DRUG INC

Doing Business As: JACKSON DISCOUNT DRUG INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1974 CHEROKEE RD
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 234-2578
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JACKSON DISCOUNT DRUG INC is a community/retail pharmacy pharmacy in Alexander City, AL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JACKSON DISCOUNT DRUG INC NPI is 1124173190. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jackson Discount Drug Inc.

The provider's business location address is:

1974 CHEROKEE RD
ALEXANDER CITY, AL
ZIP 35010-437
Phone: (256) 234-2578
Fax: (256) 234-0042

The provider's authorized official is Brad F Jackson .
The authorized official title is Owner Pharmacist and has the following contact phone number (256) 234-2538.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 2/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist6844ALABAMANo
23336C0003XPharmacyCommunity/Retail Pharmacy105545ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10110685OTHERALABAMANABP NCPDP NUMBER
2100001971MEDICAIDALABAMA
3226027MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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