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

Jackson Pharmacy Inc

Organization Long Term Care Pharmacy · NPI 1790547701

Jackson Pharmacy Inc is a Long Term Care Pharmacy in Jackson, Missouri. Registered with an NPI since 2024.

In the registry since
2024
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

200 W Washington St
Jackson, MO 63755-1858
Phone: (573) 243-1303
Fax: (573) 243-1254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1790547701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Sommer — President · (314) 965-4700
Other names Medicenter Pharmacy
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address755 S New Ballas Rd Ste 260, Saint Louis, MO 63141-8744

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