Jac Stores Inc
Durable Medical Equipment & Medical Supplies
121 W North Ave, Flora
Illinois, 62839-1613
618-662-9470 Jac Stores Inc is not a DME supplier for medicare equipments and products.
Jac Stores Inc is a Durable Medical Equipment & Medical Supplies in Flora, Illinois. It is located at 121 W North Ave, Flora and it's customer support contact number is 618-662-9470. The authorized person of Jac Stores Inc is David Falk who is Owner Pres of the pharmacy and his contact number is 217-262-6226. Active license number of Jac Stores Inc is 054016343 for Durable Medical Equipment & Medical Supplies in Illinois.
Jac Stores Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
Jac Stores Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jac Stores Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 121 W North Ave, Flora, Illinois, 62839-1613 |
| Phone: | 618-662-9470 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | David Falk |
| Position: | Owner Pres |
| Contact Number: | 217-262-6226 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1578747184 |
| NPI Enumeration Date: | 19 Dec, 2007 |
| NPI Last Update On: | 13 Feb, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jac Stores Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 054016343 | Illinois | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1481504 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2245 W Mound Rd, Decatur, Illinois |
| Zip: | 62526-9367 |
| Phone Number: | 217-362-6226 |
| Fax Number: | 217-362-6241 |
Patients can reach Jac Stores Inc at
121 W North Ave, Flora, Illinois or can
call on customer care at 618-662-9470.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.