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Jackson Drug Co

Community/Retail Pharmacy in Jackson, MN · enumerated 2007 · authorized official Lance Edlin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053456889

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Drug Co
Other name <Unavail>
Practice address 506 2nd St, Jackson, MN, 56143
Phone (507) 847-3161
Fax (507) 847-2480
Enumeration date Feb 20, 2007
Last updated in NPPES Aug 13, 2007

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 22124900 (MN) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Secondary
3336M0003X Managed Care Organization Pharmacy Suppliers Secondary

Authorized official

Name Lance Edlin
Title Owner
Phone (507) 847-3161

Other identifiers

Identifier Type State Issuer
2405632 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jackson Drug Co?
Jackson Drug Co is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-13.