JACKSONS PHARMACY LLC (NPI# 1467609495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467609495 |
| Entity Type | Organization |
| Organization Name | JACKSONS PHARMACY LLC |
| Other Organization Name | JACKSONS PHARMACY |
| Practice Address |
2423 Betts Ave Northern Cambria PA 15714 |
| Mailing Address |
Po Box 774 Northern Cambria PA 15714-0774 |
| Practice Telephone | 8149487400 |
| Practice Fax Number | 8149487440 |
| Mailing Telephone | 8149487400 |
| Mailing Fax Number | 8149487440 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2010-08-06 |
| Authorized Official Name | RICHARD JACKSON (PHARMACY MANAGER) |
| Authorized Official Telephone | 8149487400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481874 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3991329 | 01 |
| Other Name | Type Code |
|---|---|
| Jacksons Pharmacy | Doing Business As Name - Organization |
| Street Address |
2423 BETTS AVE |
| City | NORTHERN CAMBRIA |
| State | PA |
| Zip Code | 15714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647355 | Nathan Joseph Zachesky | Physical Therapist | 2910 Bigler Ave, Northern Cambria, PA 15714 | 2019-09-07 |
| 1386105658 | George Leroy Mascio | Pharmacist | 2423 Betts Avenue, Inside Ken's Bilo, Northern Cambria, PA 15714 | 2019-03-28 |
| 1699247031 | James Drug Store - Martinsburg | Pharmacy | 2423 Betts Ave Inside Ken's Bilo, Northern Cambria, PA 15714 | 2018-12-26 |
| 1982098851 | Mandi Paronish | Registered Nurse | 2214 Bigler Ave, Northern Cambria, PA 15714 | 2015-03-27 |
| 1568765469 | Jessica Rita Zatorsky | Counselor | 4205 Crawford Ave, Northern Cambria, PA 15714 | 2010-12-15 |
| 1669414074 | Keystone Rehabilitation Systems Inc | Clinic/Center | 2910 Bigler Avenue, Northern Cambria, PA 15714 | 2006-06-11 |
| 1205826476 | L-j-l Trucking Inc. | Emergency Response System Companies | 1311 Philadelphia Ave, Northern Cambria, PA 15714 | 2005-10-27 |
| 1104821057 | William J Paronish | Family Medicine | 1106 Bigler Ave, Suite #2, Northern Cambria, PA 15714 | 2005-06-16 |
| 1538387766 | Alison Lynn Lobick | Pharmacist | 1120 Philadelphia Avenue, Northern Cambria, PA 15714 | 2007-04-23 |
| 1730269838 | Sandra Ann Brzezinski | Family Medicine | 917 Philadelphia Ave, Northern Cambria, PA 15714 | 2006-10-16 |
| Find all providers in zip 15714 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699247031 | James Drug Store - Martinsburg | Pharmacy | 2423 Betts Ave Inside Ken's Bilo, Northern Cambria, PA 15714 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTHERN CAMBRIA |
| Zip Code | 15714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.