Jac Stores Inc
Jac Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Tuscola, IL, holding Type 2 (organization) NPI 1093726598 since 2006. The authorized official on file is David Falk, President & Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093726598 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jac Stores Inc |
| Other name | <Unavail> |
| Practice address | 104 E SOUTHLINE RD, ROUTE 36 UNIT A, Tuscola, IL, 61953 |
| Phone | 2172532309 |
| Fax | 2172535073 |
| Enumeration date | 2006-08-10 |
| Last updated in NPPES | 2024-10-17 |
Authorized official
| Name | David Falk |
|---|---|
| Title | President & Owner |
| Phone | 2173626226 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 054005154 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016687 | Other | — | PK |
Copy-ready billing details
Provider: Jac Stores Inc NPI: 1093726598 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 104 E SOUTHLINE RD, ROUTE 36 UNIT A, Tuscola, IL, 61953
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568948743 | Skylar Bolduc | Individual | Pharmacist | Tuscola, IL |
| 1568257905 | Jac Stores Inc | Organization | Long Term Care Pharmacy | Tuscola, IL |
Verify this record
Cross-check NPI 1093726598 against the authoritative CMS record: view Jac Stores Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jac Stores Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-17.