Jack'S Discount Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JACK'S DISCOUNT PHARMACY

Practice address

4400 Jefferson Hwy
Jefferson, LA 70121-1309

Phone

(504) 252-4717

Fax

(504) 602-9847

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Jackson Jr., RPH

Title

LLC Member/Manager

Phone

(504) 252-4747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1073746988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CENTRAL AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213408",
            "telephone_number": "504-252-4717",
            "fax_number": "504-602-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211309",
            "telephone_number": "504-252-4717",
            "fax_number": "504-602-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK'S DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "LLC MEMBER/MANAGER",
        "authorized_official_telephone_number": "504-252-4747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Hurtado
• Jennifer Lynn Hyde, MS, ATC, LAT
• Jocelyn Wendy Huiling Ihnat
• Jacquelyn Moreau Ingram
• J. Donald Persich
• Fatemeh Jafari Roshan-Zamir, DO,MS
• Lakshme Tabitha Ruby Jakobs, DO
• Catalina Jaramillo Franco, MD
• Jefferson Healthcare Center LLC
• Jefferson Parish Human Services Authority

• Community/Retail Pharmacy in Jefferson, LA
• Providers in Jefferson, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.