Jackson Apothecary, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JACKSON APOTHECARY, LLC

Practice address

12755 Hwy 22E
New Site, AL 36256-3625

Phone

(205) 422-8114

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Brad Jackson, PHARM DNPI 1972508729

Title

Member

Phone

(205) 422-8114

Specialties & licenses 1

Addresses

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": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1568064491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 ALTADENA DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432229",
            "telephone_number": "205-422-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 HWY 22E",
            "city": "NEW SITE",
            "state": "AL",
            "postal_code": "362563625",
            "telephone_number": "205-422-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-422-8114",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Site Volunteer Fire Ambulance Service
• Newsite Volunteer Fire & Ambulance
• Russell Hospital Corporation

• Community/Retail Pharmacy in New Site, AL
• Providers in New Site, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.