Jackson Village Pharmacy LLC
NPI 1477955037 · Community/Retail Pharmacy · Jackson, NJ
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Village Pharmacy LLC is a Community/Retail Pharmacy organization in Jackson, NJ (NPI 1477955037).
Provider details
- NPI number
- 1477955037
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gabriel Ouellette, Manager / Owner(860) 367-3387
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
645 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 476 | $34 |
| Admn Sarscov2 Vacc 1 Dose90480 | 110 | $46 |
| Administration of Pneumococcal VaccineG0009 | 59 | $34 |
Typical Medicare-allowed amounts for these services range $34–$46 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Hackensack Meridian Village Pharmacy
- Doing business as
- Meridian Village Pharmacy at Jackson
- Doing business as
- Meridian Village Pharmacy at Jackson
Additional practice locations (1)
- 27 South Cooks Bridge RdSuite M1Jackson, NJ 08527Phone: (732) 994-7387Fax: (732) 994-7389
Registry dates
- Enumerated
- 2014-09-25
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Frequently asked questions
- What is Jackson Village Pharmacy LLC's NPI number?
- Jackson Village Pharmacy LLC's National Provider Identifier (NPI) is 1477955037, 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 Community/Retail 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.
- Does Jackson Village Pharmacy LLC accept Medicare?
- Jackson Village Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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, Manager / Owner. 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 (1477955037) is active in the NPPES registry as of the last update on 2026-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.