Active NPI
JCN Healthcare Solutions, LLC
- Pharmacist
- Hoover, AL
National Provider Identifier
1013661008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Clay Nolen, PHARMD, MBA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286022 | Medicaid | AL |
Other names 1
- Moss Rock Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231207003494 | AL | Part B Supplier - Pharmacy | 6709235310 | Practice locations: Hoover, AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Hoover, AL
- NPI 1215578190
-
- Community/Retail Pharmacy
- Hoover, AL
- NPI 1467185397
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.