NPIMap

Organization Active NPI

Jackson Village Pharmacy LLC

  • Mail Order Pharmacy
  • Jackson, NJ
National Provider Identifier
1649176785
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
JACKSON VILLAGE PHARMACY LLC
Practice address
27 S Cooks Bridge Rd Ste 1-1
Jackson, NJ 08527-2460
Phone
(732) 994-7387
Fax
(732) 994-7389
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Gabriel OuelletteNPI 1386247104
Title
Authorized Agent
Phone
(732) 994-7387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

27 S Cooks Bridge Rd Ste 1-1
Jackson, NJ 08527-2460

Mailing address

27 S Cooks Bridge Rd Ste 1-1
Jackson, NJ 08527-2460
Phone (732) 994-7387

National Provider Directory

National Provider Directory
Tax ID family
Hackensack Meridian Village Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1649176785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S COOKS BRIDGE RD STE 1-1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272460",
            "telephone_number": "732-994-7387",
            "fax_number": "732-994-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S COOKS BRIDGE RD STE 1-1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272460",
            "telephone_number": "732-994-7387",
            "fax_number": "732-994-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "732-994-7387"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.