JACKSON COMMUNITY PHARMACY, LLC
NPI 1760871339
Pharmacy - Community/Retail Pharmacy in Jackson, MS

NPI Status: Active since January 20, 2015

Contact Information

350 W WOODROW WILSON AVE STE 311
JACKSON, MS
ZIP 39213
Phone: (601) 326-5370
Fax: (601) 982-7103

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About JACKSON COMMUNITY PHARMACY, LLC

This page provides the complete NPI Profile along with additional information for Jackson Community Pharmacy, Llc, a provider established in Jackson, Mississippi operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1760871339 assigned on January 2015. The practitioner's primary taxonomy code is 3336C0003X with license number F14158 (MS). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Jackson Community Pharmacy, Llc. The authorized official of this NPI record is Christopher Merriwether (Managing Member)

NPI
1760871339
Provider Legal Name
JACKSON COMMUNITY PHARMACY, LLC
Other Organization Name
JACKSON COMMUNITY PHARMACY, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
350 W WOODROW WILSON AVE STE 311 JACKSON, MS 39213
Location Phone
(601) 326-5370
Location Fax
(601) 982-7103
Mailing Address
1485 LIVINGSTON LN JACKSON, MS 39213
Mailing Phone
(601) 983-1239
Mailing Fax
(601) 982-7103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2015
Last Update Date
01-20-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
F14158
License State
MS
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
23336C0004XSuppliers

Pharmacy
Compounding Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER MERRIWETHER

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(601) 983-1239

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2149725OTHER (01)PK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760871339
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120167236
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 6 + 7 + 2 + 3 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1760871339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336534916OPUS RX, LLC
Organization
Pharmacy (Community/Retail Pharmacy)350 W WOODROW WILSON AVE STE 311
JACKSON, MS 39213
(601) 326-5378
1225015266BE JAY PE LTD
Organization
Pharmacy350 W WOODROW WILSON AVE STE 311
JACKSON, MS 39213
(601) 487-2281
1235108796 BEVERLY H WILLIAMS R.PH, PHARM. D.
Individual
Pharmacist350 W WOODROW WILSON AVE STE 311
JACKSON, MS 39213
(601) 487-2218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760871339, enumerated in the NPI registry as an "organization" on January 20, 2015

The provider is located at 350 W Woodrow Wilson Ave Ste 311 Jackson, Ms 39213 and the phone number is (601) 326-5370

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 20, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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