Northtown Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NORTHTOWN PHARMACY LLC

Practice address

6220 Old Canton Rd
Jackson, MS 39211-2924

Phone

(601) 665-4694

Fax

(769) 333-9173

NPI assigned

Dec 8, 2020

Organization subpart

No

Name

Dr. Andrew Clark, PHARM. DNPI 1760683635

Title

Ceo/Founder

Phone

(601) 665-4694

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

• Andrew Clark, PHARM D

  • Pharmacist
  • Jackson, MS
  • NPI 1760683635
  NPD Authorized official
• Alex Brooks, PHARMD

  • Pharmacist
  • Jackson, MS
  • NPI 1316608235
  NPD (past)
• Zachary McInnis

  • Pharmacist
  • Jackson, MS
  • NPI 1336008986
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Tax ID family

Northtown Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northtown Pharmacy LLC

  • Long Term Care Pharmacy
  • Jackson, MS
  • NPI 1417794918
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: rx@northtownpharmacy.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2026.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1023614724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 OLD CANTON RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112924",
            "telephone_number": "601-665-4694",
            "fax_number": "769-333-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 OLD CANTON RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112924",
            "telephone_number": "601-665-4694",
            "fax_number": "769-333-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "601-665-4694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rx@northtownpharmacy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6220 Old Canton Rd",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392112924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• North Lion Hospice & Palliative Care, LLC
• North Street Healthcare LLC
• Durham North, M.D.
• Kelsey A North, PA-C
• James A. Northcutt, M.D.
• Northtown Pharmacy LLC
• Christian Hunter Norton, MD
• John Westbrook Norton, M.D.
• Anne Norwood, CFNP
• Kimberly Peach Norwood, PA-C

• All providers in Jackson, MS
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.