JACKSON PHARMACY INC
NPI 1790547701
Pharmacy - Long Term Care Pharmacy in Jackson, MO

Active since January 25, 2024
200 W WASHINGTON ST, JACKSON, MO 63755(573) 243-1303(573) 243-1254 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackson Pharmacy Inc NPPES

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

JACKSON PHARMACY INC (NPI 1790547701), doing business as Medicenter Pharmacy, is a healthcare organization registered as a long term care pharmacy in Jackson, Missouri and active in the NPI registry since January 2024. The organization lists Stephen Sommer, President, as its authorized official.

NPPES Registry Identity

NPI1790547701
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameJACKSON PHARMACY INC
Location Address200 W WASHINGTON STJackson, MO 63755-1858
Mailing Address755 S New Ballas Rd Ste 260Saint Louis, MO 63141-8744 · (314) 965-4700 · Fax (314) 965-4706
Fax(573) 243-1254
Organization SubpartNo
Authorized OfficialStephen SommerPresident · (314) 965-4700
Enumeration DateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1790547701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

200 W WASHINGTON ST, Jackson, MO 63755

Other Names 1

Doing Business AsMedicenter Pharmacy

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20552243
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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.

Pharmacy (Community/Retail Pharmacy)
200 W WASHINGTON ST
JACKSON, MO 63755
Pharmacist
200 W WASHINGTON ST
JACKSON, MO 63755
Pharmacist
200 W WASHINGTON ST
JACKSON, MO 63755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790547701, enumerated as an "organization" on January 25, 2024.

The provider is located at 200 W WASHINGTON ST JACKSON, MO 63755 and the phone number is (573) 243-1303.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc., Antidote. Please consult your insurance carrier or call the provider to verify.