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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: August 16, 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
Phone(573) 243-1303
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
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Other Names 1

Doing Business AsMedicenter Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Medicenter Pharmacy carries, from the Medicare DMEPOS supplier directory.

Medicenter Pharmacy

DMEPOS supplier · Jackson, MOOperated by Jackson Pharmacy Inc
⋮

Does not accept Medicare assignment

Medicenter Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20552243
Medicare Participant SinceApril 15, 2009
Supplier Location200 W Washington StJackson, MO 63755
Phone(573) 243-1303
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. HEATHER MICHELLE WEBER PHARMD
Pharmacist
200 W WASHINGTON ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-1303
DR. CHRISTINA DIANE HART PHARMD
Pharmacist
200 W WASHINGTON ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-1303
JACKSON PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
200 W WASHINGTON ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-1303

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 Pharmacy Inc's NPI number?

The NPI number for Jackson Pharmacy Inc is 1790547701. It was assigned to this organization in the NPPES registry on January 25, 2024. The provider is doing business as Medicenter Pharmacy.

Where is Jackson Pharmacy Inc located?

Jackson Pharmacy Inc is located at 200 W Washington St, Jackson, MO 63755. The listed phone number is (573) 243-1303.

What is Jackson Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Jackson Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Medicenter Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Jackson Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Jackson Pharmacy 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 Pharmacy Inc was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.