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Jac Stores Inc

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NPI Number Detailed Information

Provider Information:

Name: Jac Stores Inc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1902817406
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 8/10/2006

Last Update Date: 2/21/2017

Provider Business Mailing Address:

Address: PO BOX 3040
Decatur, IL 62524
Phone Number: 2173626226
Fax Number: 2173626241

Provider Business Practice Location Address:

Address: 105 E JACKSON ST
Virden, IL 62690
Phone Number: 2179654926
Fax Number: 2179655620

Provider Taxonomy:

Primary: 333600000X
Secondary (if any): 3336C0003X
State: IL

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About Jac Stores Inc

Jac Stores Inc ( JAC STORES INC ) is A Pharmacy Provider in Virden, IL. The NPI Number for Jac Stores Inc is 1902817406.
The current location address for Jac Stores Inc is 105 E JACKSON ST Virden, IL 62690 and the contact number is 2173626226 and fax number is 2173626241. The mailing address for Jac Stores Inc is PO BOX 3040 Decatur, IL 62524- 2179654926 (mailing address contact number - 2173626226).
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jac Stores Inc ?


Answer: The NPI Number for Jac Stores Inc is 1902817406

Where is Jac Stores Inc located?


Answer: Jac Stores Inc is located at 105 E JACKSON ST Virden, IL 62690.

What is the specialty for Jac Stores Inc ?


Answer: The Specialty of Jac Stores Inc is A Pharmacy Provider.

Are there any online reviews for Jac Stores Inc ?


Answer: Not yet!

Are there any other health care providers in Virden, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jac Stores Inc

Number of HCPCS 15
Number of Medicare Beneficiaries 509
Number of Services 907
Total Submitted Charge Amount 50782.69
Total Medicare Allowed Amount 36167.83
Total Medicare Payment Amount 36167.83
Total Medicare Standardized Payment Amount 36003.69
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 181
Number of Drug Services 184
Total Drug Submitted Charge Amount 12032.35
Total Drug Medicare Allowed Amount 12032.35
Total Drug Medicare Payment Amount 12032.35
Total Drug Medicare Standardized Payment Amount 11791.05
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 10
Number of Medicare Beneficiaries With Medical 509
Number of Medical Services 723
Total Medical Submitted Charge Amount 38750.34
Total Medical Medicare Allowed Amount 24135.48
Total Medical Medicare Payment Amount 24135.48
Total Medical Medicare Standardized Payment Amount 24212.64
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 48
Number of Beneficiaries Age 65 to 74 232
Number of Beneficiaries Age 75 to 84 162
Number of Beneficiaries Age Greater 84 67
Number of Female Beneficiaries 282
Number of Male Beneficiaries 227
Number of Non-Hispanic White Beneficiaries 494
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 72
Number of Beneficiaries With Medicare Only Entitlement 437
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.05
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.03
Percent (%) of Beneficiaries Identified With Asthma 0.03
Percent (%) of Beneficiaries Identified With Cancer 0.05
Percent (%) of Beneficiaries Identified With Heart Failure 0.08
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.14
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.1
Percent (%) of Beneficiaries Identified With Diabetes 0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.37
Percent (%) of Beneficiaries Identified With Hypertension 0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.25
Percent (%) of Beneficiaries Identified With Osteoporosis 0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.3
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 0.9003

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Jac Stores Inc in Other Directories

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