OrganizationActive
Jackson Village Pharmacy LLC
NPI 1164393401 · Pharmacy · Jackson, NJ
Jackson Village Pharmacy LLC is a Pharmacy organization in Jackson, NJ (NPI 1164393401).
Provider details
- NPI number
- 1164393401
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gabriel Ouellette, Authorized Agent(732) 994-7387
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
27 S Cooks Bridge Rd Ste 1-1
Jackson, NJ 08527-2460
Phone: (732) 994-7387
Fax: (732) 994-7389
Street-level locationGet directions
Mailing address
27 S Cooks Bridge Rd Ste 1-1
Jackson, NJ 08527-2460
Registry dates
- Enumerated
- 2025-09-17
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Jackson Village Pharmacy LLC's NPI number?
- Jackson Village Pharmacy LLC's National Provider Identifier (NPI) is 1164393401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Village Pharmacy LLC?
- Jackson Village Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Jackson Village Pharmacy LLC located?
- Jackson Village Pharmacy LLC's practice location on file with NPPES is 27 S Cooks Bridge Rd Ste 1-1, Jackson, NJ 08527-2460.
- What is Jackson Village Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Village Pharmacy LLC is (732) 994-7387.
- Who is the authorized official for Jackson Village Pharmacy LLC?
- The authorized official listed on Jackson Village Pharmacy LLC's NPPES record is Gabriel Ouellette, Authorized Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Village Pharmacy LLC's NPI active?
- Yes — Jackson Village Pharmacy LLC's NPI (1164393401) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.