Organization
JERKINS INC
Active
Other names
East Tallassee Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D JERKINS (OWNER)
(334) 252-1688
Entity
Organization
Contact information
Practice address
4366 NOTASULGA RD, TALLASSEE, AL 36078-6035
(334) 252-1688
Mailing address
4366 NOTASULGA RD, TALLASSEE, AL 36078-6035
(334) 252-1688
(334) 252-1690
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113373
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136526
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
169380
—
AL
05
—
172260
—
AL
Enumeration date
06/08/2010
Last updated
02/21/2020
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