Jackson's Discount Pharmacy, Inc.
NPI 1568669208ActiveOrganization· Pharmacy, Specialty Pharmacy· Gulfport, MS
Pharmacy, Specialty Pharmacy in Gulfport, Mississippi, registered in NPPES in June 2007. The authorized official on file is Linda Marie Jackson, Vice President. Medicare paid $3,251 for services to 31 patients in 2024.
Overview
| NPI | 1568669208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2007 |
| Last updated in NPPES | Apr 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | 02264011 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 62 across 6 procedure codes |
| Paid by Medicare | $3,251 |
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