NPIMap

Organization Active NPI

Jackson Hospital and Clinic, Inc

Doing business as Jackson Apothecary Specialty

  • Specialty Pharmacy
  • Prattville, AL
National Provider Identifier
1922848803
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
JACKSON HOSPITAL AND CLINIC, INC
Doing business as
Jackson Apothecary Specialty
Practice address
1842 E Main St
Prattville, AL 36066-5500
Phone
(334) 293-6899
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Steven Payne
Title
Pharmacy Manager
Phone
(334) 293-6899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

1842 E Main St
Prattville, AL 36066-5500

Mailing address

1842 E Main St
Prattville, AL 36066-5500
Phone (334) 293-6899

Other names 1

  • Jackson Apothecary Specialty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carol Anders Tyson Mano71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1842 E Main St
Prattville, AL 36066
Phone (334) 293-6899

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1922848803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665500",
            "telephone_number": "334-293-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665500",
            "telephone_number": "334-293-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HOSPITAL AND CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "334-293-6899"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Apothecary Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.