JACKSON DRUG CO. INC NPI 1184640369

NPI Information

  • NPI: 1184640369
  • Provider Name: JACKSON DRUG CO., INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 10077 COMMERCE ST
    SUMMERVILLE, GA
    ZIP 30747
  • Phone: (706) 857-2731

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NPI Details

JACKSON DRUG CO., INC is a community/retail pharmacy pharmacy in Summerville, GA. 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 DRUG CO., INC NPI is 1184640369. The provider is registered as an organization entity type.

The provider's business location address is:

10077 COMMERCE ST
SUMMERVILLE, GA
ZIP 30747-356
Phone: (706) 857-2731
Fax: (706) 857-1773

The provider's authorized official is James Robert Jackson .
The authorized official title is Pres and has the following contact phone number (706) 857-2731.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPHRE004184GEORGIAYes

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: 11/21/2025

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