Mt Jackson Drug Store Inc
Community/Retail Pharmacy
5350 Main St, Mount Jackson
Virginia, 22842-9511
540-477-3101 540-477-4039
Mt Jackson Drug Store Inc is a Community/Retail Pharmacy in Mount Jackson, Virginia. It is located at 5350 Main St, Mount Jackson and it's customer support contact number is 540-477-3101. The authorized person of Mt Jackson Drug Store Inc is James Fansler who is President Owner of the pharmacy and his contact number is 540-477-3101. Active license number of Mt Jackson Drug Store Inc is 0201002587 for Community/Retail Pharmacy in Virginia. Mt Jackson Drug Store Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mt Jackson Drug Store Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Mt Jackson Drug Store 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: | Mt Jackson Drug Store Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 5350 Main St, Mount Jackson,
Virginia, 22842-9511 |
| Phone: | 540-477-3101 |
| Fax: | 540-477-4039 |
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: | James Fansler |
| Position: | President Owner |
| Contact Number: | 540-477-3101 |
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: | 1346322120 |
| NPI Enumeration Date: | 20 Oct, 2006 |
| NPI Last Update On: | 16 Aug, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mt Jackson Drug Store Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 0201002587 | Virginia | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| 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 |
| 2102235 | Other | | Pk |
| 010078059 | Medicaid | Virginia | |
Medicare Enrollment:
Mt Jackson Drug Store 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 |
| 4880803626 | O20100930072289 | Mt Jackson Drug Store 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: | Po Box 473,
Mount Jackson, Virginia |
| Zip: | 22842-0473 |
| Phone Number: | -- |
Patients can reach Mt Jackson Drug Store Inc at
5350 Main St, Mount Jackson, Virginia or can
call on customer care at 540-477-3101.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.