R.C.McDonald Co Inc
Organization Active NPI Community/Retail Pharmacy · Jackson, LA
NPI 1326029448 · NPPES record last updated May 9, 2025
Key facts
- NPI
- 1326029448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- R.C.MCDONALD CO INC
- Practice address
- 1701 Charter St
Jackson, LA 70748-5927 - Phone
- (225) 634-2470
- Fax
- (225) 634-7975
- NPI assigned
- Nov 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael K. Tomb, RPH
- Title
- Owner/Pharmacist
- Phone
- (225) 634-2470
Practitioners 3
-
Michael Kevin Tomb, RPH
-
Kelsey Tomb Carter, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1036455 | McDonald Pharmacy | Certificate of waiver | Feb 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161024000934 | LA | Part B Supplier - Pharmacy | 0143508382 | Practice locations: Jackson, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2228 | LA | |
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X | PHY.002228-IR | LA |
Addresses
Primary practice location
1701 Charter St
Jackson, LA 70748-5927
Mailing address
1701 Charter St
PO Box 306
Jackson, LA 70748-5927
Phone (225) 634-2470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1906227 | Other | LA | NABP # |
| 1258369 | Medicaid | LA |
Other names
- MCDONALD PHARMACY
Other providers in Jackson, LA
- Waylon Morris Parker
- Alan Ray Perego
- Wanda Lynn Pezant
- Primary Care Providers for a Healthy Feliciana, Inc.
- Joshua A Primeaux
- S.O.P.E. Transportation, LLC
- Dahn Savell
- Latasha Dinyel Shavers
- Kristen T Shoemake
- Anita Louise Snow
All providers in Jackson, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.