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JACKSONVILLE PHARMACY LLC
NPI 1407022700
Pharmacy in Jacksonville, OR

Active since May 06, 2008
725 N 5TH ST STE 100, JACKSONVILLE, OR 97530(541) 899-7948(541) 899-7946 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacksonville Pharmacy Llc NPPES

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

JACKSONVILLE PHARMACY LLC (NPI 1407022700) is a healthcare organization registered as a pharmacy in Jacksonville, Oregon and active in the NPI registry since May 2008. The organization lists James Ken Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407022700
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameJACKSONVILLE PHARMACY LLC
Location Address725 N 5TH ST STE 100Jacksonville, OR 97530-9874
Mailing Address725 N 5th St Ste 100Jacksonville, OR 97530-9874 · (541) 899-7948 · Fax (541) 899-7946
Phone(541) 899-7948
Fax(541) 899-7946
Organization SubpartNo
Authorized OfficialJames Ken JohnsonOwner · (541) 899-7948
Enumeration DateMay 6, 2008
✔ NPI 1407022700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OR · RP002114CS
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
725 N 5TH ST STE 100, Jacksonville, OR 97530
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Other Identifiers 2

Medicaid275501OR
Medicare NSC4957150001OR

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 Jacksonville Pharmacy LLC's NPI number?

The NPI number for Jacksonville Pharmacy LLC is 1407022700. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Jacksonville Pharmacy LLC located?

Jacksonville Pharmacy LLC is located at 725 N 5th St Ste 100, Jacksonville, OR 97530. The listed phone number is (541) 899-7948.

What is Jacksonville Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Pharmacy LLC was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.