Jacks Pharmacy Inc

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NPI Number Detailed Information

Provider Information:

Name:	Jacks Pharmacy Inc
Gender:
Provider License Number If Given:	1368CP

NPI Information:

NPI:	1518967710
Entity Type (Individual or Organization):	2-org
Enumeration Date:	7/28/2005
Last Update Date:	2/7/2020

Provider Business Mailing Address:

Address:	103 E COLLEGE AVE St Maries, ID 83861
Phone Number:	2082454578
Fax Number:	2082455004

Provider Business Practice Location Address:

Address:	103 E COLLEGE AVE St Maries, ID 83861
Phone Number:	2082454578
Fax Number:	2082455004

Provider Taxonomy:

Primary:	3336C0003X
Secondary (if any):
State:	ID

Top Doctors in ID

About Jacks Pharmacy Inc

Jacks Pharmacy Inc ( JACKS PHARMACY INC ) is A Pharmacy Provider in St Maries, ID. The NPI Number for Jacks Pharmacy Inc is 1518967710.

The current location address for Jacks Pharmacy Inc is 103 E COLLEGE AVE St Maries, ID 83861 and the contact number is 2082454578 and fax number is 2082455004. The mailing address for Jacks Pharmacy Inc is 103 E COLLEGE AVE St Maries, ID 83861- 2082454578 (mailing address contact number - 2082454578).

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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jacks Pharmacy Inc ?

Answer: The NPI Number for Jacks Pharmacy Inc is 1518967710

Where is Jacks Pharmacy Inc located?

Answer: Jacks Pharmacy Inc is located at 103 E COLLEGE AVE St Maries, ID 83861.

What is the specialty for Jacks Pharmacy Inc ?

Answer: The Specialty of Jacks Pharmacy Inc is A Pharmacy Provider.

Are there any online reviews for Jacks Pharmacy Inc ?

Answer: Not yet!

Are there any other health care providers in St Maries, ID?

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 Jacks Pharmacy Inc

Number of HCPCS	6
Number of Medicare Beneficiaries	158
Number of Services	318
Total Submitted Charge Amount	22684
Total Medicare Allowed Amount	13047.6
Total Medicare Payment Amount	13047.6
Total Medicare Standardized Payment Amount	13026.02
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	4
Number of Medicare Beneficiaries With Drug Services	158
Number of Drug Services	159
Total Drug Submitted Charge Amount	10572.84
Total Drug Medicare Allowed Amount	10572.84
Total Drug Medicare Payment Amount	10572.84
Total Drug Medicare Standardized Payment Amount	10361.18
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	2
Number of Medicare Beneficiaries With Medical	158
Number of Medical Services	159
Total Medical Submitted Charge Amount	12111.16
Total Medical Medicare Allowed Amount	2474.76
Total Medical Medicare Payment Amount	2474.76
Total Medical Medicare Standardized Payment Amount	2664.84
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	11
Number of Beneficiaries Age 65 to 74	75
Number of Beneficiaries Age 75 to 84	58
Number of Beneficiaries Age Greater 84	14
Number of Female Beneficiaries	83
Number of Male Beneficiaries	75
Number of Non-Hispanic White Beneficiaries
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	25
Number of Beneficiaries With Medicare Only Entitlement	133
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.11
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.14
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.16
Percent (%) of Beneficiaries Identified With Depression	0.1
Percent (%) of Beneficiaries Identified With Diabetes	0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.25
Percent (%) of Beneficiaries Identified With Hypertension	0.4
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.16
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.22
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.8237

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