Jackson Drug Co
NPI 1053456889 · Community/Retail Pharmacy · Jackson, MN
Jackson Drug Co is a Community/Retail Pharmacy organization in Jackson, MN (NPI 1053456889).
Provider details
- NPI number
- 1053456889
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lance Edlin, Owner(507) 847-3161
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Drug
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2007-08-13
Frequently asked questions
- What is Jackson Drug Co's NPI number?
- Jackson Drug Co's National Provider Identifier (NPI) is 1053456889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Drug Co?
- Jackson Drug Co is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jackson Drug Co located?
- Jackson Drug Co's practice location on file with NPPES is 506 2nd St, Jackson, MN 56143-0233.
- What is Jackson Drug Co's phone number?
- The practice phone number listed in the NPPES registry for Jackson Drug Co is (507) 847-3161.
- Who is the authorized official for Jackson Drug Co?
- The authorized official listed on Jackson Drug Co's NPPES record is Lance Edlin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Drug Co's NPI active?
- Yes — Jackson Drug Co's NPI (1053456889) is active in the NPPES registry as of the last update on 2007-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.