Jacks Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Jacks Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in St Maries, Idaho. It is located at 103 E College Ave, St Maries and it's customer support contact number is 208-245-4578. The authorized person of Jacks Pharmacy Inc is Dr. Colt Darley, PHARMD who is Pharmacist/president of the pharmacy and his contact number is 208-245-4578. Active license number of Jacks Pharmacy Inc is 1368CP for Durable Medical Equipment & Medical Supplies in Idaho. Jacks Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Jacks Pharmacy 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:
Jacks Pharmacy 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:
Jacks Pharmacy Inc
Type:
Durable Medical Equipment & Medical Supplies
Location:
103 E College Ave, St Maries, Idaho, 83861-2247
Phone:
208-245-4578
Fax:
208-245-5004
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:
Dr. Colt Darley
Credentials:
PHARMD
Position:
Pharmacist/president
Contact Number:
208-245-4578
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:
1619001187
NPI Enumeration Date:
15 Mar, 2007
NPI Last Update On:
07 Feb, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacks Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Durable Medical Equipment & Medical Supplies
1368CP
Idaho
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
1303483
Other
Idaho
Ncpdp
002494500
Medicaid
Idaho
002494400
Medicaid
Idaho
Medicare Enrollment:
Jacks Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
5991822280
O20100930007998
Jacks Pharmacy Inc
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
103 E College Ave, St Maries, Idaho
Zip:
83861-2247
Phone Number:
208-245-4578
Fax Number:
208-245-5004
Patients can reach Jacks Pharmacy Inc at 103 E College Ave, St Maries, Idaho or can call on customer care at 208-245-4578.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Other Pharmacies in St Maries, Idaho
No other Pharmacies is available in St Maries, ID.