Active NPI
Jackson's Pharmacy
- Pharmacist
- Manila, AR
National Provider Identifier
1699869032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD09867
- Legal business name
- JACKSON'S PHARMACY
- Practice address
- 434 Hwy. 18
Ste. C
Manila, AR 72442 - Phone
- (870) 561-3032
- Fax
- (870) 561-3035
- NPI assigned
- Oct 2, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith Jackson Moore, PHARMD
- Title
- Owner/Pharmacist
- Phone
- (870) 561-3032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD09867 | AR | Primary |
Addresses
Primary practice location
434 Hwy. 18
Ste. C
Manila, AR 72442
Mailing address
PO Box 1364
434 Hwy. 18 Ste. C
Manila, AR 72442
Phone (870) 561-3032
National Provider Directory
National Provider DirectoryLocations
434 W State Highway 18
Ste C
Manila, AR 72442
Phone (870) 561-3032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699869032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1364",
"address_2": "434 HWY. 18 STE. C",
"city": "MANILA",
"state": "AR",
"postal_code": "72442",
"telephone_number": "870-561-3032",
"fax_number": "870-561-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 HWY. 18",
"address_2": "STE. C",
"city": "MANILA",
"state": "AR",
"postal_code": "72442",
"telephone_number": "870-561-3032",
"fax_number": "870-561-3035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON'S PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "FAITH",
"authorized_official_middle_name": "JACKSON",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "870-561-3032",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD09867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manila, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.