Jackson Village Pharmacy LLC
NPI 1649176785ActiveOrganization· Pharmacy, Mail Order Pharmacy· Jackson, NJ
Pharmacy, Mail Order Pharmacy in Jackson, New Jersey, registered in NPPES in October 2026. The authorized official on file is Gabriel Ouellette, Authorized Agent.
Overview
| NPI | 1649176785 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2026 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|