Northtown Pharmacy LLC
NPI 1023614724ActiveOrganization· Pharmacy· Jackson, MS
Pharmacy in Jackson, Mississippi, registered in NPPES in December 2020. The authorized official on file is Andrew Clark, PHARM. D, Ceo/Founder. Medicare paid $41,894 for services to 163 patients in 2024.
Overview
| NPI | 1023614724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2020 |
| Last updated in NPPES | Aug 21, 2026 |
| Certified by provider | Aug 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (MS); Part B Supplier - Pharmacy (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 163 |
|---|---|
| Services billed | 532 across 10 procedure codes |
| Paid by Medicare | $41,894 |
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