Organization
JACKS ENTERPRISES-DOTHAN INC
Active
Other names
JACKS DRUGS-DOTHAN
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DIXON (BUSINESS MANAGER)
(334) 836-0890
Entity
Organization
Contact information
Practice address
1909 HONEYSUCKLE RD, DOTHAN, AL 36305-4289
(334) 836-0890
(334) 836-0894
Mailing address
1909 HONEYSUCKLE RD, DOTHAN, AL 36305-4289
(334) 836-0890
(334) 836-0894
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112613
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132857
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003604
—
AL
Enumeration date
12/13/2006
Last updated
05/18/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up