Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacks Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1619001187

Jacks Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in St Maries, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 E College Ave
St Maries, ID 83861-2247
Phone: (208) 245-4578
Fax: (208) 245-5004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 1368CP (ID)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1619001187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colt Darley — Pharmacist/President · (208) 245-4578
NPI enumeratedMarch 15, 2007
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address103 E College Ave, St Maries, ID 83861-2247

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