JAC STORES INC


Address: 121 W North Ave, Flora, IL 62839-1613
Phone: 6186629470

JAC STORES INC (NPI# 1093998551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093998551
Entity Type Organization
Organization Name JAC STORES INC
Other Organization Name SAV MOR PHARMACY
Practice Address 121 W North Ave
Flora
IL 62839-1613
Mailing Address Po Box 3040
Decatur
IL 62524-3040
Practice Telephone 6186629470
Practice Fax Number 6186629464
Mailing Telephone 2173626226
Mailing Fax Number 2173626241
Enumeration Date 2007-12-07
Last Update Date 2017-02-20
Authorized Official Name DAVID FALK (PRESIDENT & OWNER)
Authorized Official Telephone 2173626226
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
054016343 IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2023628 01

Other Provider/Organization Names

Other Name Type Code
SAV MOR PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811451594 Jac Stores Inc Pharmacy 34 S Locust St, Pana, IL 62557-1463 2019-01-26
1245777911 Jac Stores Inc Pharmacy 407 S Jackson St, Cerro Gordo, IL 61818-4360 2017-01-19
1316393374 Jac Stores Inc Pharmacy 1110 N Topper Dr, Mount Pulaski, IL 62548-1401 2016-05-09
1316307994 Jac Stores Inc Pharmacy 326 Route 45 N, Louisville, IL 62858-2652 2016-02-25
1699119644 Jac Stores Inc Pharmacy 1410 Village Pkwy, Mt Zion, IL 62549-1253 2013-04-22
1366453862 Jac Stores Inc Pharmacy 110 E State St, Nokomis, IL 62075-1340 2006-08-10
1326059825 Jac Stores Inc Pharmacy 122 W Locust St, Fairbury, IL 61739-1549 2006-08-10
1285645788 Jac Stores Inc Pharmacy 1300 N Allen St, Robinson, IL 62454-1090 2006-08-10
1417968918 Jac Stores Inc Pharmacy 138 N Market St, Paxton, IL 60957-1220 2006-08-10
1902817406 Jac Stores Inc Pharmacy 105 E Jackson St, Virden, IL 62690-1450 2006-08-10

Office Location

Street Address 121 W NORTH AVE
City FLORA
State IL
Zip Code 62839-1613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336677681 John Dale Powless Pharmacist 121 W North Ave, Flora, IL 62839-1613 2017-05-31
1578747184 Jac Stores Inc Pharmacy 121 W North Ave, Flora, IL 62839-1613 2007-12-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467887455 Gayla Kay Dunaway Occupational Therapist 232 Givens Dr, Flora, IL 62839 2013-09-09
1952652349 Health Care Management Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 408 E 4th St, Rosewood Estates, Flora, IL 62839 2012-09-25
1437445947 Gaurav Nigam Family Medicine 911 Stacy Burk Drive, Flora, IL 62839 2011-06-22
1831413947 Philip K.c. Chung Obstetrics & Gynecology 116 East 4th, Floria, IL 62839 2010-03-18
1669672465 Heritage Woods LLC Assisted Living Facility 1003 West 4th Street, Flora, IL 62839 2007-07-19
1043365968 Martin Dental Associates PC Dentist 501 North Main Street, Flora, IL 62839 2007-01-23
1518047356 Linda L Robards Registered Nurse Clay Medical Center, 201 E N Avenue, Flora, IL 62839 2006-10-16
1144312000 Valerie Jill Henderson Registered Nurse 201 E N Avenue, Clay Medical Center, Flora, IL 62839 2006-09-29
1164523221 Kimberly Ann Greenwalt Licensed Practical Nurse 201 E N Ave, Clay Medical Center, Flora, IL 62839 2006-09-25
1558879676 Melissa Kay Laslie Registered Nurse 911 Stacy Burk Drive, Flora, IL 62839 2018-01-11
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578747184 Jac Stores Inc Pharmacy 121 W North Ave, Flora, IL 62839-1613 2007-12-19
1770519357 Flora Drugs, Inc. Pharmacy 740 Highway 49 N, Suite U, Flora, MS 39071-9347 2006-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538582 Wilmington Pharmacy LLC Pharmacy 600 W Baltimore St, Wilmington, IL 60481-1281 2020-11-03
1952909632 Cordant Pharmacy Illinois, LLC Pharmacy 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 2020-10-14
1386242352 Letitride, Inc. Pharmacy 501 W Oak Street, Fairbury, IL 61739 2020-10-13
1699389890 J2sb LLC Pharmacy 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 2020-09-04
1891308045 Apotheco Pharmacy Lincoln Park LLC Pharmacy 2140 N Halsted St, Chicago, IL 60614-4385 2020-08-27
1982217345 Costco Wholesale Corporation Pharmacy 2002 N. Neil St., Champaign, IL 61820 2020-08-26
1710599485 Costco Wholesale Corporation Pharmacy 16261 S Boulevard Pl, Plainfield, IL 60586-4400 2020-08-23
1982212635 Grand Pharmacy LLC Pharmacy 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 2020-07-20
1871110254 Illini Clinic Pharmacy Inc Pharmacy 103 N Prospect St, Cambridge, IL 61238-1148 2020-07-01
1831716745 The Project of The Quad Cities Pharmacy 1701 River Dr Ste 106, Moline, IL 61265-1384 2020-06-26
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Competitor

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City FLORA
Zip Code 62839

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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