Athens Creekside Drugs, LLC
NPI 1144339995ActiveOrganization· Pharmacist· Athens, AL
Pharmacist in Athens, Alabama, registered in NPPES in August 2006. The authorized official on file is Mark Kent Jackson, Owner/Pharmacist. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1144339995 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Jan 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 111879 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (AL) |
|---|
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