OrganizationActive
Jackson Pharmacy Inc
NPI 1790547701 · Long Term Care Pharmacy · Jackson, MO
Jackson Pharmacy Inc is a Long Term Care Pharmacy organization in Jackson, MO (NPI 1790547701).
Provider details
- NPI number
- 1790547701
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stephen Sommer, President(314) 965-4700
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
200 W Washington St
Jackson, MO 63755-1858
Phone: (573) 243-1303
Fax: (573) 243-1254
Street-level locationGet directions
Mailing address
755 S New Ballas Rd Ste 260
Saint Louis, MO 63141-8744
Other names (DBA / former)
- Doing business as
- Medicenter Pharmacy
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Frequently asked questions
- What is Jackson Pharmacy Inc's NPI number?
- Jackson Pharmacy Inc's National Provider Identifier (NPI) is 1790547701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Pharmacy Inc?
- Jackson Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Jackson Pharmacy Inc located?
- Jackson Pharmacy Inc's practice location on file with NPPES is 200 W Washington St, Jackson, MO 63755-1858.
- What is Jackson Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Jackson Pharmacy Inc is (573) 243-1303.
- Who is the authorized official for Jackson Pharmacy Inc?
- The authorized official listed on Jackson Pharmacy Inc's NPPES record is Stephen Sommer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Pharmacy Inc's NPI active?
- Yes — Jackson Pharmacy Inc's NPI (1790547701) is active in the NPPES registry as of the last update on 2024-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.