JACKSON HOSPITAL & CLINIC, INC.
NPI 1467116137
Pharmacy in Montgomery, AL

Q: What is Jackson Hospital & Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital & Clinic, Inc. is 1467116137. It was assigned to this organization in the NPPES registry on October 28, 2021. The provider is doing business as Jackson Apothecary.

Q: What is Jackson Hospital & Clinic, Inc.'s specialty?

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

Active since October 28, 2021

1758 PARK PL, MONTGOMERY, AL 36106(334) 293-8780 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jackson Hospital & Clinic, Inc. NPPES

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

JACKSON HOSPITAL & CLINIC, INC. (NPI 1467116137), doing business as Jackson Apothecary, is a healthcare organization registered as a pharmacy in Montgomery, Alabama and active in the NPI registry since October 2021. The organization lists Richard F Mann, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1467116137

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameJACKSON HOSPITAL & CLINIC, INC.

Location Address1758 PARK PLMontgomery, AL 36106-1127

Mailing Address1758 Park PlMontgomery, AL 36106-1127 · (334) 293-8780

Phone(334) 293-8780

Organization SubpartYes

Authorized OfficialRichard F MannBusiness Office Director · (334) 293-8820

Enumeration DateOctober 28, 2021

NPPES CertifiedOctober 8, 2021

✔ NPI 1467116137 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.

1758 PARK PL, Montgomery, AL 36106

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Other Names 1

Doing Business AsJackson Apothecary

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Hospital & Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateAlabamaEnrollment IDO20211223000004Non-DME Part B · PharmacyDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 19

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

SOUTHEAST CANCER NETWORK, INC

Internal Medicine (Hematology & Oncology)

1758 PARK PL, SUITE 301
MONTGOMERY, AL 36106

Montgomery County (205) 366-9740

STEWART H TANKERSLEY, MD, LLC

Clinic/Center

1758 PARK PL, SUITE 200
MONTGOMERY, AL 36106

Montgomery County (334) 538-9695

MR. WES HOLLAND C.PED.

Orthotist

1758 PARK PL, SUITE 300
MONTGOMERY, AL 36106

Montgomery County (334) 538-7696

CAPITAL CARDIOTHORACIC, PC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1758 PARK PL, SUITE 202
MONTGOMERY, AL 36106

Montgomery County (334) 264-7156

DR. DAVID LAWRENCE KOURI M.D.

Legal Medicine

1758 PARK PL, SUITE 201
MONTGOMERY, AL 36106

Montgomery County (334) 263-3630

JACKSON HOSPITAL AND CLINIC INC.

Internal Medicine (Cardiovascular Disease)

1758 PARK PL, SUITE 402
MONTGOMERY, AL 36106

Montgomery County (334) 293-6842

LATOYA SHANTEL CLARK MD

Obstetrics & Gynecology

1758 PARK PL, SUITE 406
MONTGOMERY, AL 36106

Montgomery County (251) 716-4744

JACKSON HOSPITAL AND CLINIC INC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1758 PARK PL, SUITE 202
MONTGOMERY, AL 36106

Montgomery County (334) 264-7156

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 Hospital & Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital & Clinic, Inc. is 1467116137. It was assigned to this organization in the NPPES registry on October 28, 2021. The provider is doing business as Jackson Apothecary.

Where is Jackson Hospital & Clinic, Inc. located?

Jackson Hospital & Clinic, Inc. is located at 1758 Park Pl, Montgomery, AL 36106. The listed phone number is (334) 293-8780.

What is Jackson Hospital & Clinic, Inc.'s specialty?

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

Is Jackson Hospital & Clinic, Inc. enrolled in Medicare?

Yes. Jackson Hospital & Clinic, Inc. is registered in the Medicare PECOS enrollment system.

When is Jackson Hospital & Clinic, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Pharmacy) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Jackson Hospital & Clinic, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 43 other insurers list Jackson Hospital & Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Hospital & Clinic, Inc. was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.