JACKSON'S DISCOUNT PHARMACY, INC. (NPI# 1568669208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568669208 |
| Entity Type | Organization |
| Organization Name | JACKSON'S DISCOUNT PHARMACY, INC. |
| Practice Address |
11340 Three Rivers Rd Ste A Gulfport MS 39503-3650 |
| Practice Telephone | 2288320808 |
| Mailing Telephone | 2288320808 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | MRS. LINDA MARIE JACKSON (VICE PRESIDENT) |
| Authorized Official Telephone | 2288328000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
02264011 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440464 | 05 |
| Street Address |
11340 THREE RIVERS RD STE A |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639729080 | Bennie Dan Mcgrew | Pharmacist | 11340 Three Rivers Rd Ste A, Gulfport, MS 39503-3650 | 2019-09-18 |
| 1457901803 | Elvin Wayne Mills | Pharmacist | 11340 Three Rivers Rd Ste A, Gulfport, MS 39503-3650 | 2019-09-18 |
| 1609426022 | Gary Dean Jackson | Pharmacist | 11340 Three Rivers Rd Ste A, Gulfport, MS 39503-3650 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932133196 | Sartin's Vital Care, Inc. | Pharmacy | 1311 Broad Ave, Gulfport, MS 39501 | 2006-07-11 |
| 1134132335 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1417469388 | Noble Health Services, Inc. | Pharmacy | 2506 Lakeland Dr Ste 201, Flowood, MS 39232-7656 | 2017-10-31 |
| 1437513876 | The Transplant Pharmacy, LLC | Pharmacy | 630 Lakeland East Dr Ste B, Flowood, MS 39232-9565 | 2016-04-12 |
| 1154616084 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd Ste 2, Starkville, MS 39759-3613 | 2011-06-20 |
| 1043510381 | Hemophilia Specialty Group, LLC | Pharmacy | 1500 Gateway St, Suite B, Grenada, MS 38901-2846 | 2010-11-02 |
| 1831407113 | Northeast Pharmaceuticals Inc | Pharmacy | 1707 Hospital St, Greenville, MS 38703-3225 | 2010-09-20 |
| 1083936678 | Hemophilia Infusion Managers LLC | Pharmacy | 510 E Waldron St, Corinth, MS 38834-4861 | 2010-02-23 |
| 1316278062 | A & A Home Health Equipment, Inc. | Pharmacy | 3080 E Reed Rd, Greenville, MS 38703-9410 | 2010-01-20 |
| 1235175746 | Trustmore Incorporated | Pharmacy | 102 Metroplex Blvd, Suite A, Pearl, MS 39208 | 2006-06-22 |
| 1467495234 | Innovative Pharmacy Services Inc | Pharmacy | 312b Marion Ave, Mccomb, MS 39648-2708 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
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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.