Jackson Discount Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

105545 Issued in AL

Legal business name

JACKSON DISCOUNT DRUG INC

Practice address

1974 Cherokee Rd
Alexander City, AL 35010-3437

Phone

(256) 234-2578

Fax

(256) 234-0042

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Brad F JacksonNPI 1972508729

Title

Owner Pharmacist

Phone

(256) 234-2538

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• jackson discount drug inc Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Brad F Jackson, PHARM D

  • Pharmacist
  • Birmingham, AL
  • NPI 1972508729
  NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1124173190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 CHEROKEE RD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103437",
            "telephone_number": "256-234-2578",
            "fax_number": "256-234-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 CHEROKEE RD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103437",
            "telephone_number": "256-234-2578",
            "fax_number": "256-234-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON DISCOUNT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "256-234-2538"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "6844",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "105545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226027",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001971",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP  NCPDP NUMBER",
            "identifier": "0110685",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jackson discount drug inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "jackson discount drug inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Graham Lee Howorth Jr., MD
• Sheena C Hunter, CRNP
• Stormy Hunter
• In Touch Adult Day Health Center
• In Touch Care Solutions
• Donna Jackson-Arredondo, LGSW
• Christi G Jackson, CRNP
• James Chiropractic Center, Inc.
• James H. Poole & Associates, O.D., P.C.
• John M James, M.D.

• All providers in Alexander City, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.