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

Last updated

Aug 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Clark, PHARM. DNPI 1760683635

Title

Ceo/Founder

Phone

(601) 665-4694

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Locations

Interoperability endpoints

• Direct secure messaging: rx@northtownpharmacy.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• 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)

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

{
    "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 (Comperes Nursing Home)
• 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

• Pharmacy in Jackson, MS
• Providers in Jackson, MS by specialty
• 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.