JACKSON PHARMACY INC (NPI# 1770570491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770570491 |
| Entity Type | Organization |
| Organization Name | JACKSON PHARMACY INC |
| Other Organization Name | OAK PARK PHARMACY |
| Practice Address |
1305 White Dr Batesville AR 72501-9467 |
| Mailing Address |
Po Box 2114 Batesville AR 72503-2114 |
| Practice Telephone | 8706981974 |
| Practice Fax Number | 8706980141 |
| Mailing Telephone | 8706981974 |
| Mailing Fax Number | 8706980141 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2016-12-05 |
| Authorized Official Name | LONNIE JACKSON (PRESIDENT) |
| Authorized Official Telephone | 8706981974 |
| Authorized Official Credential | PD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR13396 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 114918407 | 05 | |
| PK | 1994353 | 01 |
| Other Name | Type Code |
|---|---|
| OAK PARK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184716169 | Jackson Pharmacy Inc | Pharmacy | 683 Bennetts Mills Road, Jackson, NJ 08527-3852 | 2006-09-28 |
| 1811075336 | Jackson Pharmacy Inc | Pharmacy | 200 W Washington St, Jackson, MO 63755-1858 | 2006-11-01 |
| Street Address |
1305 WHITE DR |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-9467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637841 | Lonnie Everrett Jackson IIi | Pharmacist | 1305 White Dr, Batesville, AR 72501-9467 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| 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 |
|---|---|---|---|---|
| 1902454523 | Panola Pharmacy, LLC | Pharmacy | 440 Highway 6 E, Batesville, MS 38606-3000 | 2019-08-27 |
| 1184194102 | Getwell Pharmacy of Tennessee, Inc. | Pharmacy | 407 Highway 6 E, Batesville, MS 38606-3001 | 2018-12-03 |
| 1801289673 | Georges Family Pharmacy Inc | Pharmacy | 1198 State Road 46 E, Batesville, IN 47006-9232 | 2015-03-18 |
| 1700947272 | Clinic Drug Store, Inc | Pharmacy | 1700 Harrison St Ste D, Batesville, AR 72501 | 2006-12-12 |
| 1700965811 | Sullivan's Drug Store,inc | Pharmacy | 107 Van Voris St, Batesville, MS 38606-2198 | 2006-11-02 |
| 1578666285 | Hook Superx LLC | Pharmacy | 907 State Road 229, Batesville, IN 47006-6802 | 2006-09-07 |
| 1578504908 | Saverex Drugs LLC | Pharmacy | 287 Highway 6 W, Batesville, MS 38606-2557 | 2006-06-09 |
| 1518914043 | Nolte's Pharmacy Inc | Pharmacy | 1 E George St, Batesville, IN 47006 | 2006-05-29 |
| 1013966639 | Todds Pharmacy Inc | Pharmacy | 110 Highway 51 N, Batesville, MS 38606-2347 | 2006-05-09 |
| 1821608134 | Progressive Pharmacy LLC | Pharmacy | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2020-08-03 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
Please comment or provide details below to improve the information on JACKSON PHARMACY INC.
| 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.