JAC STORES INC (NPI# 1699119644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699119644 |
| Entity Type | Organization |
| Organization Name | JAC STORES INC |
| Other Organization Name | SAV MOR PHARMACY |
| Practice Address |
1410 Village Pkwy Mt Zion IL 62549-1253 |
| Mailing Address |
2245 W Mound Rd Decatur IL 62526-9367 |
| Practice Telephone | 2178640910 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | DAVID EDWARD FALK (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2173626226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Sav Mor Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811451594 | Jac Stores Inc | Pharmacy | 34 S Locust St, Pana, IL 62557-1463 | 2019-01-26 |
| 1245777911 | Jac Stores Inc | Pharmacy | 407 S Jackson St, Cerro Gordo, IL 61818-4360 | 2017-01-19 |
| 1316393374 | Jac Stores Inc | Pharmacy | 1110 N Topper Dr, Mount Pulaski, IL 62548-1401 | 2016-05-09 |
| 1316307994 | Jac Stores Inc | Pharmacy | 326 Route 45 N, Louisville, IL 62858-2652 | 2016-02-25 |
| 1093998551 | Jac Stores Inc | Pharmacy | 121 W North Ave, Flora, IL 62839-1613 | 2007-12-07 |
| 1366453862 | Jac Stores Inc | Pharmacy | 110 E State St, Nokomis, IL 62075-1340 | 2006-08-10 |
| 1326059825 | Jac Stores Inc | Pharmacy | 122 W Locust St, Fairbury, IL 61739-1549 | 2006-08-10 |
| 1285645788 | Jac Stores Inc | Pharmacy | 1300 N Allen St, Robinson, IL 62454-1090 | 2006-08-10 |
| 1417968918 | Jac Stores Inc | Pharmacy | 138 N Market St, Paxton, IL 60957-1220 | 2006-08-10 |
| 1902817406 | Jac Stores Inc | Pharmacy | 105 E Jackson St, Virden, IL 62690-1450 | 2006-08-10 |
| Street Address |
1410 VILLAGE PKWY |
| City | MT ZION |
| State | IL |
| Zip Code | 62549-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209675 | Charles Howard Stone | Dentist | 108 Ashland Ave., Mt. Zion, IL 62549 | 2008-10-07 |
| 1730340498 | Jacob David Sams | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2008-06-24 |
| 1154511517 | Donald Nicholas Sullivan | Orthopaedic Surgery | 104 Ashland, Mt Zion, IL 62549 | 2007-07-31 |
| 1417169681 | Temmen Advanced Eye Care LLC | Optometrist | 1505 W Main, Mt Zion, IL 62549 | 2007-05-03 |
| 1124160247 | Peter L Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
| 1568563666 | Russell John Proesel | Dentist | 420 Broadway, Mt Zion, IL 62549 | 2006-09-25 |
| 1497789572 | Dennis Ryan Vaughn | Podiatrist | 1640 North State Highway 121, Mt. Zion, IL 62549 | 2006-07-11 |
| 1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
| 1336586114 | Decatur Orthopedic Center, LLC | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2013-06-03 |
| 1336284736 | Timothy Delbert Busey | Optometrist | 1505 W Main St, Mt Zion, IL 62549 | 2007-02-21 |
| Find all providers in zip 62549 | ||||
| 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] |
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| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.