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JACKSONVILLE PHARMACY, INC.
NPI 1457314916
Pharmacy in Jacksonville, OR

Active since April 07, 2006
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 16, 2026.

About Jacksonville Pharmacy, Inc. NPPES

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

JACKSONVILLE PHARMACY, INC. (NPI 1457314916) is a healthcare organization registered as a pharmacy in Jacksonville, Oregon and active in the NPI registry since April 2006. The organization lists J. Ken Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1457314916
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameJACKSONVILLE PHARMACY, INC.
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 OfficialJ. Ken JohnsonPresident · (541) 899-7948
Enumeration DateApril 7, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1457314916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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, Jacksonville, OR 97530
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Other Identifiers 2

Medicaid275501OR
Medicare NSC6082810001OR

Other Providers at the Same Location NPPES 3

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

SISTERS OF PROVIDENCE IN OREGON
Clinic/Center
725 N 5TH ST, SUITE 101
JACKSONVILLE, OR 97530
Jackson County (541) 899-8686
PIETER FREDERICK OOSTHUIZEN LD
Denturist
725 N 5TH ST, STE 101
JACKSONVILLE, OR 97530
Jackson County (541) 899-9999
JAMES KENNETH JOHNSON R.PH.
Pharmacist
725 N 5TH ST, SUITE 100
JACKSONVILLE, OR 97530
Jackson County (541) 899-7948

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, Inc.'s NPI number?

The NPI number for Jacksonville Pharmacy, Inc. is 1457314916. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Jacksonville Pharmacy, Inc. located?

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

What is Jacksonville Pharmacy, Inc.'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, Inc. 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.