| NPI | 1093726598 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-10 |
| Last Updated | 2024-10-17 |
| Authorized Official | David Falk PRESIDENT & OWNER Phone: 2173626226 |
| Mailing Address | 2245 W Mound Rd Decatur, IL 62526-9367 United States Phone: (217) 362-6226 | Fax: (217) 362-6241 📍 View Map |
| Primary Practice Address | 104 E Southline Rd, Route 36 Unit A Tuscola, IL 61953-2075 United States Phone: (217) 253-2309 | Fax: (217) 253-5073 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 2016687 | PK |
| MEDICAID | IL | ========= | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | IL | 054005154 |
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About NPI 1093726598
Jac Stores Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093726598. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Tuscola, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093726598?
NPI 1093726598 belongs to Jac Stores Inc, a Pharmacy, Community/Retail Pharmacy in Tuscola, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093726598 active?
The current status of NPI 1093726598 in the NPPES registry is Active. The record was last updated on 2024-10-17.
What specialty is NPI 1093726598?
NPI 1093726598 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093726598?
You can verify NPI 1093726598 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093726598?
The primary practice address on file for NPI 1093726598 is 104 E Southline Rd, Tuscola, IL 61953-2075. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093726598 issued?
NPI 1093726598 was first issued (enumerated) on 2006-08-10. The NPPES record was last updated on 2024-10-17.
Practice Location Map
Jac Stores Inc is located at 104 E Southline Rd, Tuscola, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jac Stores Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093726598. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 054005154 | IL |