NPIMap

Organization Active NPI

Jackson Family Pharmacy,LLC

  • Pharmacist
  • Jackson, AL
National Provider Identifier
1992812747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11492 Issued in AL
Legal business name
JACKSON FAMILY PHARMACY,LLC
Practice address
1201 College Ave
Jackson, AL 36545-2406
Phone
(251) 246-1970
Fax
(251) 246-1963
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anita Patton Overton, RPH
Title
Pharmacist/Owner
Phone
(251) 246-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 11492 AL Primary

Addresses

Primary practice location

1201 College Ave
Jackson, AL 36545-2406

Mailing address

1201 College Ave
Jackson, AL 36545-2406
Phone (251) 246-1970

National Provider Directory

National Provider Directory
Tax ID family
Jackson Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992812747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452406",
            "telephone_number": "251-246-1970",
            "fax_number": "251-246-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452406",
            "telephone_number": "251-246-1970",
            "fax_number": "251-246-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FAMILY PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "PATTON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "251-246-1970",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, AL

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.

Verify at the official NPI Registry.