JACKSONS DISCOUNT PHARMACY INC


Address: 11340 Three Rivers Rd, Ste A, Gulfport, MS 39503-3660
Phone: 2288328000

JACKSONS DISCOUNT PHARMACY INC (NPI# 1326084831) 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) 1326084831
Entity Type Organization
Organization Name JACKSONS DISCOUNT PHARMACY INC
Other Organization Name JACKSONS DISCOUNT PHARMACY
Practice Address 11340 Three Rivers Rd
Ste A
Gulfport
MS 39503-3660
Practice Telephone 2288328000
Practice Fax Number 2288320808
Mailing Telephone 2288328000
Mailing Fax Number 2288320808
Enumeration Date 2006-06-22
Last Update Date 2018-07-19
Authorized Official Name GARY JACKSON (PRESIDENT)
Authorized Official Telephone 2288328000
Authorized Official Credential RPH
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
02264/1.1 MS Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00030343 05
PK 2045339 01

Other Provider/Organization Names

Other Name Type Code
JACKSONS DISCOUNT PHARMACY Doing Business As Name - Organization

Office Location

Street Address 11340 THREE RIVERS RD
STE A
City GULFPORT
State MS
Zip Code 39503-3660

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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
1750935169 Ladner Roy Drugs, LLC. Pharmacy 12261 Us 49 Suite 16, Gulfport, MS 39503 2019-07-25
1124506498 Kanif Group LLC Pharmacy 2709 25th Avenue, Units C&d, Gulfport, MS 39501-4834 2018-07-30
1124576079 G Med II LLC Pharmacy 4723 Tennessee Ave, Gulfport, MS 39501-8130 2016-09-20
1134583305 Coastal Family Health Center Inc Pharmacy 9113 Highway 49 Ste 200, Gulfport, MS 39503-4330 2016-04-13
1730598293 Skp LLC Pharmacy 5004 Gulfport Blvd S, Gulfport, FL 33707-4942 2014-08-09
1134568942 Good Medicine, LLC Pharmacy 20006 Highway 53 Ste B, Gulfport, MS 39503-7843 2013-06-14
1952400269 Mississippi Cvs Pharmacy, L.L.C. Pharmacy 2424 25th Ave, Gulfport, MS 39501-4524 2006-09-22
1861591174 Mississippi Cvs Pharmacy, L.L.C. Pharmacy 1422 E Pass Rd, Gulfport, MS 39507-3521 2006-09-22
1134228448 Mississippi Cvs Pharmacy, L.L.C. Pharmacy 11022 Highway 49, Gulfport, MS 39503-4110 2006-09-22
1821190463 Mkb Pharmacy, Inc Pharmacy 12372 Highway 49, Gulfport, MS 39503-2741 2006-09-03
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Competitor

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City GULFPORT
Zip Code 39503

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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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