MR. JACK LARRY SANDERS R PH
NPI 1619050150
Pharmacist in Laurel, MS

Active since October 20, 2006
3160 AUDUBON DR, LAUREL, MS 39440(601) 428-0688(601) 428-0689 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack Larry Sanders R Ph NPPES

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

MR. JACK LARRY SANDERS R PH (NPI 1619050150) is an individual pharmacist in Laurel, Mississippi, licensed in Mississippi (E-06744) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1619050150
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JACK LARRY SANDERSCredential: R PH
Location Address3160 AUDUBON DRLaurel, MS 39440
Mailing AddressPo Box 8324Laurel, MS 39441-8324 · (601) 729-4407 · Fax (601) 428-0689
Fax(601) 428-0689
Sole ProprietorYes
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619050150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · E-06744
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3160 AUDUBON DR, Laurel, MS 39440

Other Identifiers 1

OtherE-06744MS · State License Number

Other Providers at the Same Location NPPES 2

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

Pharmacy (Compounding Pharmacy)
3160 AUDUBON DR
LAUREL, MS 39440
Pharmacist
3160 AUDUBON DR
LAUREL, MS 39440

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 Jack Sanders's NPI number?

The NPI number for Jack Sanders is 1619050150. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Jack Sanders located?

Jack Sanders practices at 3160 Audubon Dr, Laurel, MS 39440. The listed phone number is (601) 428-0688.

What is Jack Sanders's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jack Sanders was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.