JACKSON DRUGS, LLC
JACKSON DRUGS, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124161435, based in Fort Pierce, FL. The organization lists 2 taxonomy classifications, with Developmental Disabilities Clinic/Center recorded as primary.
Getting there
The practice address on file is 2301 OKEECHOBEE RD, Fort Pierce, FL 34950. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PH6577 | FL | Community/Retail Pharmacy |
This provider holds licence PH6577 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 3577765122
- Enrollment ID
- O20190318000575
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Developmental Disabilities covers
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). NUCC Health Care Provider Taxonomy, code 261QD1600X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QD1600X | Developmental Disabilities Clinic/Center Developmental Disabilities | — | — | primary |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | PH6577 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124161435 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 15, 2007 |
| Last updated | Sep 9, 2021 |
| Status | Active |
| Practice address |
2301 OKEECHOBEE RD Fort Pierce, FL 34950 (772) 464-3784 Fax (772) 467-9153 |
| Other identifiers |
1032250
· Other (FL) 110883600 · Medicaid (FL) 103687400 · Medicaid (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 1 | 6 | 1 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 2 | 6 | 2 | 4 | 6 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.