O.B. JACKSON INC (NPI# 1881197861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881197861 |
| Entity Type | Organization |
| Organization Name | O.B. JACKSON INC |
| Other Organization Name | JACKSON'S FURNITURE |
| Practice Address |
14001 Highway 43 Ste 15 Russellville AL 35653-2849 |
| Practice Telephone | 2563326721 |
| Mailing Telephone | 2563326721 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | SHANNON GRANADA (MANAGER) |
| Authorized Official Telephone | 2563326721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Jackson's Furniture | Doing Business As Name - Organization |
| Street Address |
14001 HIGHWAY 43 STE 15 |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629481395 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2109 W Main St, Russellville, AR 72801-4636 | 2014-06-10 |
| 1609048206 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 485 W 4th St, Russellville, KY 42276-1324 | 2008-03-24 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1992877484 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 976 Ronnie Mcdowell Ave., Russellville, AL 35654 | 2006-11-14 |
| 1033280276 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 1509 E Main St, Ste 9, Russellville, AR 72801-5326 | 2006-11-10 |
| 1609980028 | Newtons Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 715 West Main, Russellville, AR 72801-3616 | 2006-08-19 |
| 1619982410 | Creekwood Place Nursing & Rehab Center, Inc. | Durable Medical Equipment & Medical Supplies | 107 Boyles Dr, Russellville, KY 42276-8838 | 2006-07-30 |
| 1790702173 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2409 E Main St, Russellville, AR 72802-9619 | 2006-07-16 |
| 1275550568 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 13675 Highway 43, Russellville, AL 35653-2831 | 2006-07-16 |
| 1316971161 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1003 W Main St, Russellville, AR 72801-3517 | 2006-07-10 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
Please comment or provide details below to improve the information on O.B. JACKSON INC.
| 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.