Organization Active NPI

Hitchcock RX Inc

Doing business as Jack's Discount Pharmacy

  • Pharmacy
  • West Blocton, AL
National Provider Identifier
1093822884
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
111008 Issued in AL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2136622OtherPK
142004MedicaidAL

Other names 1

  • Jack's Discount Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140312000685 AL Part B Supplier - Mass Immunization (Roster Biller Only) 3274763362 Practice locations: West Blocton, AL

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.