Jackson Apothecary

LBN: Jordan Drug, Inc.
Jackson Apothecary is an health care organization with primary practice located at 842 Highway 15 North , Jackson KY 41339-1017. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jordan Drug, Inc. can be contacted via phone (606) 666-7060, or through Smith, Rosemayr C via phone (606) 464-3901.

Contact Information

Primary practice address
842 Highway 15 North Jackson KY 41339-1017
Phone: (606) 666-7060
Fax: (606) 666-9454
Website:
Map and Directions
Authorized official contact:
Name: Smith, Rosemayr C R. PH.
Phone: (606) 464-3901

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Community/Retail Pharmacy 3336C0003X P06509 Kentucky

Profile Details

NPI number 1689619348
LBN Legal business name Jordan Drug, Inc.
DBA Doing business as Jackson Apothecary
Authorized official Smith, Rosemayr C R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated May 8th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689619348 NPPES
Kentucky Other FLU0298 MEDICARE FLU
Kentucky Other 9000134800 MEDICARE FLU
Kentucky MEDICAID 5400000500 MEDICARE FLU

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