Provider Type Icon

JACKSON'S DISCOUNT PHARMACY INC. NPI 1568669208


NPI Information

NPI: 1568669208
Provider Name: JACKSON'S DISCOUNT PHARMACY, INC.
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
11340 THREE RIVERS RD STE A
GULFPORT, MS
ZIP 39503
Phone: (228) 832-0808
Get Directions

JACKSON'S DISCOUNT PHARMACY, INC. is a specialty pharmacy pharmacy in Gulfport, MS. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. JACKSON'S DISCOUNT PHARMACY, INC. NPI is 1568669208. The provider is registered as an organization entity type.

The provider's business location address is:

11340 THREE RIVERS RD STE A
GULFPORT, MS
ZIP 39503-650
Phone: (228) 832-0808

The provider's authorized official is Linda Marie Jackson .
The authorized official title is Vice President and has the following contact phone number (228) 832-8000.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 4/11/2008.


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
13336S0011XPharmacySpecialty Pharmacy02264011MISSISSIPPIYes

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
100440464MEDICAIDMISSISSIPPI
20741110001MEDICARE NSCMISSISSIPPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.