OrganizationActive
Jacks Enterprises-Dothan Inc
NPI 1215098033 · Community/Retail Pharmacy · Dothan, AL
Provider details
- NPI number
- 1215098033
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matthew Dixon, Business Manager(334) 836-0890
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
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
1909 Honeysuckle Rd
Dothan, AL 36305-4289
Phone: (334) 836-0890
Fax: (334) 836-0894
Street-level locationGet directions
Mailing address
1909 Honeysuckle Rd
Dothan, AL 36305-4289
Other names (DBA / former)
- Doing business as
- Jacks Drugs-Dothan
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.