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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689619348 | NPPES |
| Kentucky | Other | FLU0298 | MEDICARE FLU |
| Kentucky | Other | 9000134800 | MEDICARE FLU |
| Kentucky | MEDICAID | 5400000500 | MEDICARE FLU |
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