Jacksons Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481874 Issued in PA

Legal business name

JACKSONS PHARMACY LLC

Practice address

2423 Betts Ave
Northern Cambria, PA 15714

Phone

(814) 948-7400

Fax

(814) 948-7440

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Richard Jackson

Title

Pharmacy Manager

Phone

(814) 948-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacksons Pharmacy Doing business as

Practitioners 1

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

• Sunday Lee Jackson

  • Pharmacist
  • Hollidaysburg, PA
  • NPI 1013547967
  NPD

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1467609495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157140774",
            "telephone_number": "814-948-7400",
            "fax_number": "814-948-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 BETTS AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "15714",
            "telephone_number": "814-948-7400",
            "fax_number": "814-948-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "814-948-7400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3991329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksons Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Arthur Gobert
• Health Ride Plus, Inc.
• Brianne Hilger, LPC
• Heather Hudson
• Indiana Regional Medical Center
• James Drug Store - Martinsburg
• John M Vasil
• Lara Kammerer
• Kevin A Kerr, RPH
• Robret H Kerr

• Community/Retail Pharmacy in Northern Cambria, PA
• Providers in Northern Cambria, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.