Organization Active NPI

JCN Healthcare Solutions, LLC

  • Pharmacist
  • Hoover, AL
National Provider Identifier
1013661008
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
JCN HEALTHCARE SOLUTIONS, LLC
Practice address
610 Preserve Pkwy Ste 160
Hoover, AL 35226-4250
Phone
(205) 238-9383
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Clay Nolen, PHARMD, MBANPI 1215578190
Title
Owner/Supervising Pharmacist
Phone
(205) 238-9383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

610 Preserve Pkwy Ste 160
Hoover, AL 35226-4250

Mailing address

610 Preserve Pkwy Ste 160
Hoover, AL 35226-4250
Phone (205) 238-9383

Other identifiers 1

IdentifierTypeStateIssuer
286022MedicaidAL

Other names 1

  • Moss Rock Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207003494 AL Part B Supplier - Pharmacy 6709235310 Practice locations: Hoover, AL

National Provider Directory

National Provider Directory

Locations

610 Preserve Pkwy
Ste 160
Hoover, AL 35226
Phone (205) 238-9383

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1013661008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PRESERVE PKWY STE 160",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264250",
            "telephone_number": "205-238-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PRESERVE PKWY STE 160",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264250",
            "telephone_number": "205-238-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCN HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "205-238-9383",
        "authorized_official_credential": "PHARMD, MBA"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286022",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moss Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moss Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.