Active NPI
Hitchcock RX Inc
Doing business as Jack's Discount Pharmacy
- Pharmacy
- West Blocton, AL
National Provider Identifier
1093822884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 111008
- Legal business name
- HITCHCOCK RX INC
- Doing business as
- Jack's Discount Pharmacy
- Practice address
- 23010 Highway 5
West Blocton, AL 35184-2672 - Phone
- (205) 938-9588
- Fax
- (205) 938-3035
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 7, 2025
- 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
- Emily Pinon
- Title
- Manager
- Phone
- (205) 938-9588
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 111008 | AL | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
23010 Highway 5
West Blocton, AL 35184-2672
Mailing address
23010 Highway 5
West Blocton, AL 35184-2672
Phone (205) 938-9588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136622 | Other | PK | |
| 142004 | Medicaid | AL |
Other names 1
- Jack's Discount 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 |
|---|---|---|---|---|
| O20140312000685 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274763362 | Practice locations: West Blocton, AL |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Jack's Discount Pharmacy
- Long Term Care Pharmacy
- West Blocton, AL
- NPI 1730710534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1093822884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23010 HIGHWAY 5",
"city": "WEST BLOCTON",
"state": "AL",
"postal_code": "351842672",
"telephone_number": "205-938-9588",
"fax_number": "205-938-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23010 HIGHWAY 5",
"city": "WEST BLOCTON",
"state": "AL",
"postal_code": "351842672",
"telephone_number": "205-938-9588",
"fax_number": "205-938-3035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HITCHCOCK RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "PINON",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "205-938-9588"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "111008",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136622",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142004",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jack's Discount Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Blocton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.