JAC STORES INC (NPI# 1245777911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245777911 |
| Entity Type | Organization |
| Organization Name | JAC STORES INC |
| Other Organization Name | SAV MOR PHARMACY |
| Practice Address |
407 S Jackson St Cerro Gordo IL 61818-4360 |
| Mailing Address |
2245 W Mound Rd Decatur IL 62526-9367 |
| Practice Telephone | 2177636161 |
| Practice Fax Number | 2177636134 |
| Mailing Telephone | 2173626226 |
| Mailing Fax Number | 2173626241 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | DAVID FALK (OWNER) |
| Authorized Official Telephone | 2173626226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Sav Mor Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811451594 | Jac Stores Inc | Pharmacy | 34 S Locust St, Pana, IL 62557-1463 | 2019-01-26 |
| 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 |
| 1093998551 | Jac Stores Inc | Pharmacy | 121 W North Ave, Flora, IL 62839-1613 | 2007-12-07 |
| 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 |
| Street Address |
407 S JACKSON ST |
| City | CERRO GORDO |
| State | IL |
| Zip Code | 61818-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700060688 | Cerro Gordo School Dist 100 | Local Education Agency (LEA) | 300 E Durfee St, Cerro Gordo, IL 61818 | 2007-12-27 |
| 1013050897 | Cerro Gordo Comm Amb Srvc | Ambulance | 304 E North St, Cerro Gordo, IL 61818-0181 | 2007-02-14 |
| 1053514919 | John Albert Sochor | Dentist | 223 E South St, Cerro Gordo, IL 61818-0739 | 2007-06-07 |
| 1508219288 | Kirby Medical Center | Clinic/Center | 407 South Jackson Street, Suite A, Cerro Gordo, IL 61818-4356 | 2016-07-19 |
| 1023360419 | Kimberly A Kish | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2012-10-09 |
| 1952799843 | Tanya Marie Bowsher | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700347994 | Doctor of Physical Therapy | Physical Therapist | 2450 Otto Nance Rd, Cerro Gordo, NC 28430 | 2019-03-29 |
| 1508219288 | Kirby Medical Center | Clinic/Center | 407 South Jackson Street, Suite A, Cerro Gordo, IL 61818-4356 | 2016-07-19 |
| 1205184694 | G&g Healthcare, PC | Clinic/Center | 7490 Andrew Jackson Hwy, Cerro Gordo, NC 28430-0250 | 2012-08-16 |
| 1538300900 | Darlene Hill Pressley | Family Medicine | 7490 Andrew Jackson Hwy Sw, Cerro Gordo, NC 28430-0250 | 2009-03-16 |
| 1700060688 | Cerro Gordo School Dist 100 | Local Education Agency (LEA) | 300 E Durfee St, Cerro Gordo, IL 61818 | 2007-12-27 |
| 1053514919 | John Albert Sochor | Dentist | 223 E South St, Cerro Gordo, IL 61818-0739 | 2007-06-07 |
| 1376667154 | G&g Healthcare, PC Cerro Gordo | Family Medicine | 7490 Andrew Jackson Highway, Cerro Gordo, NC 28430 | 2007-03-19 |
| 1013050897 | Cerro Gordo Comm Amb Srvc | Ambulance | 304 E North St, Cerro Gordo, IL 61818-0181 | 2007-02-14 |
| 1366545642 | James Lennart Carlson | Family Medicine | 7490 Andrew Jackson Hwy.sw, Cerro Gordo, NC 28430 | 2006-09-05 |
| 1417904277 | Cerro Gordo Volunteer Fire Department and Rescue Squad Inc | Ambulance | 75 E Railroad St, Cerro Gordo, NC 28430-0000 | 2006-05-27 |
| Find all providers in CERRO GORDO | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
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| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | CERRO GORDO |
| Zip Code | 61818 |
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| 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.