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JACKSON DRUG
NPI 1053456889
Pharmacy - Community/Retail Pharmacy in Jackson, MN

Active since February 20, 2007
506 2ND ST, JACKSON, MN 56143(507) 847-3161(507) 847-2480 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Drug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON DRUG (NPI 1053456889) is a healthcare organization registered as a community/retail pharmacy in Jackson, Minnesota and active in the NPI registry since February 2007. The organization lists Lance Edlin, Owner, as its authorized official.

NPPES Registry Identity

NPI1053456889
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJACKSON DRUG CO
Location Address506 2ND STJackson, MN 56143-0233
Mailing Address506 2nd StJackson, MN 56143-0233 · (507) 847-3461
Phone(507) 847-3161
Fax(507) 847-2480
Organization SubpartNo
Authorized OfficialLance EdlinOwner · (507) 847-3161
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 13, 2007
✔ NPI 1053456889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X · License 22124900 (MN)
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
506 2ND ST, Jackson, MN 56143
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Other Names 1

Doing Business AsJackson Drug

Other Identifiers 2

Medicare ID-Type Unspecified0944070001
Other2405632Other Id Number-commercial Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
506 2ND ST
JACKSON, MN 56143
Jackson County (507) 847-2480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Drug Co's NPI number?

The NPI number for Jackson Drug Co is 1053456889. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Jackson Drug.

Where is Jackson Drug Co located?

Jackson Drug Co is located at 506 2nd St, Jackson, MN 56143. The listed phone number is (507) 847-3161.

What is Jackson Drug Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Jackson Drug Co was last updated on August 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.