1. Home
  2. Directory
  3. Missouri
  4. Jackson
  5. Pharmacy
  6. NPI Profile

MEDICENTER PHARMACY
NPI 1811075336
Pharmacy - Community/Retail Pharmacy in Jackson, MO

Active since November 01, 2006
200 W WASHINGTON ST, JACKSON, MO 63755(573) 243-1303(573) 243-1254 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medicenter Pharmacy NPPES

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

MEDICENTER PHARMACY (NPI 1811075336) is a healthcare organization registered as a community/retail pharmacy in Jackson, Missouri and active in the NPI registry since November 2006. The organization lists Donald Schreiber, President, as its authorized official.

NPPES Registry Identity

NPI1811075336
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJACKSON PHARMACY INC
Location Address200 W WASHINGTON STJackson, MO 63755-1858
Mailing Address200 W Washington StJackson, MO 63755-1858 · (314) 965-4700 · Fax (573) 243-1254
Phone(573) 243-1303
Fax(573) 243-1254
Organization SubpartNo
Authorized OfficialDonald SchreiberPresident · (314) 965-4700
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 30, 2014
✔ NPI 1811075336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2009003117
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
200 W WASHINGTON ST, Jackson, MO 63755
Open in Google Maps ↗

Other Names 1

Doing Business AsMedicenter Pharmacy

Other Identifiers 3

Medicare NSC6204290001
Medicaid602650608MO
Other2119180Pk

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 Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2189023

Medicenter Pharmacy · Jackson, MO
Expired · Jul 23, 2026
CLIA Number26D2189023
Laboratory TypePharmacy
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorChristina Hart
Laboratory Phone(573) 243-1303
Laboratory LocationMedicenter Pharmacy200 W Washington Street, Jackson, MO 63755
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
300 services300 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
283 services283 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
27 services27 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
27 services27 patients

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 (Long Term Care 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 1811075336. It was assigned to this organization in the NPPES registry on November 1, 2006. 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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Jackson Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 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 June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.