JACKS ENTERPRISES INC (NPI# 1770644866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770644866 |
| Entity Type | Organization |
| Organization Name | JACKS ENTERPRISES INC |
| Other Organization Name | JACK'S DISCOUNT DRUGS |
| Practice Address |
15073 S Us Highway 231 Midtown Shopping Center Midland City AL 36350-6305 |
| Mailing Address |
Po Box 677 Midland City AL 36350-0677 |
| Practice Telephone | 3349834191 |
| Practice Fax Number | 3349835178 |
| Mailing Telephone | 3349834191 |
| Mailing Fax Number | 3349835178 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | ABBIE DAVIS (PHARMACIST) |
| Authorized Official Telephone | 3349834191 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 110399 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1993443 | 01 | |
| AL | 100002671 | 05 |
| Other Name | Type Code |
|---|---|
| JACK'S DISCOUNT DRUGS | Doing Business As Name - Organization |
| Street Address |
15073 S US HIGHWAY 231 MIDTOWN SHOPPING CENTER |
| City | MIDLAND CITY |
| State | AL |
| Zip Code | 36350-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952718199 | Abbie Blair Dixon | Pharmacist | 15073 S Us Highway 231, Midtown Shopping Center, Midland City, AL 36350-6305 | 2014-07-21 |
| 1295050151 | William Caylor Dixon Jr. | Pharmacist | 15073 S Us Highway 231, Midland City, AL 36350 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124445267 | Ginger Chapman Grier | Pharmacist | 15073 South Us Highway 231, Midland City, AL 36350 | 2014-03-26 |
| 1962659250 | Michael Steinmetz | Pharmacist | 15073 S Us Hwy 231, Midland City, AL 36350 | 2008-08-19 |
| 1700101664 | Jonathan F Stephens | Pharmacist | 15073 S Us Hwy 231, Midland City, AL 36350 | 2010-04-05 |
| 1740428937 | Dixieland Dental | Clinic/Center | 15622 S. Us Hwy 231, Midland City, AL 36350 | 2009-01-27 |
| 1356384051 | David Naaman Strength | Dentist | 15622 S. Us Hwy 231, Midland City, AL 36350 | 2006-06-13 |
| 1700322815 | Town of Midland City | Ambulance | 1343 Hinton Waters Ave., Midland City, AL 36350-0069 | 2017-01-12 |
| 1770526493 | Michael Carl Precise | Dentist | 15622 S. Us Hwy 231, Midland City, AL 36350-0695 | 2006-06-13 |
| 1265631915 | Robert Carl Precise | Dentist | 15622 S. Us Hwy 231, Midland City, AL 36350-0695 | 2007-07-13 |
| 1629011374 | Jon Franklin Strength | Dentist | 15622 S. Us Hwy 231, Midland City, AL 36350-0695 | 2006-06-13 |
| 1255895942 | Julie Caputo | Dietetic Technician, Registered | 556 Wynnwood Cir, Midland City, AL 36350-3233 | 2019-01-26 |
| Find all providers in zip 36350 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372771 | The Medicine Shoppe | Pharmacy | 2006 Danville Rd Sw Ste C, Decatur, AL 35601-4640 | 2020-10-02 |
| 1730704024 | St. Vincent's Blount | Pharmacy | 150 Gilbreath Dr Ste 104, Oneonta, AL 35121-2827 | 2020-06-11 |
| 1750914545 | Alabama Ltc Pharmacy LLC | Pharmacy | 611 Mcfarland Blvd Ste D, Northport, AL 35476-3333 | 2020-02-19 |
| 1497387757 | Double A Drugs LLC | Pharmacy | 42746 Hwy 25, Vincent, AL 35178 | 2020-02-05 |
| 1700421286 | Florala Pharmacy Inc | Pharmacy | 402 Meeting Avenue, Georgiana, AL 36033 | 2019-11-08 |
| 1447800198 | Jonathan Beasley Pharmacy Inc | Pharmacy | 55314 Highway 17 Ste D, Sulligent, AL 35586-4546 | 2019-09-16 |
| 1841844255 | Village Drugs LLC | Pharmacy | 716 Skelton Ave, Gardendale, AL 35071-2809 | 2019-07-25 |
| 1902377716 | Sylacauga Pharmacy, LLC | Pharmacy | 1244 Talladega Hwy, Sylacauga, AL 35150-1603 | 2018-12-06 |
| 1285100248 | Allen's Pharmacy | Pharmacy | 1518 W Main St Ste 2, Dothan, AL 36301-1372 | 2018-10-17 |
| 1972082311 | Asteria Specialty Pharmacy | Pharmacy | 5511 Highway 280 Ste 301, Birmingham, AL 35242-1507 | 2018-08-07 |
| Find all providers with the same taxonomy | ||||
| City | MIDLAND CITY |
| Zip Code | 36350 |
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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.