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Jackson Village Pharmacy LLC

Pharmacy in Jackson, NJ · enumerated 2025 · authorized official Gabriel Ouellette, Authorized Agent.

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

National Provider Identifier

1164393401

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Village Pharmacy LLC
Practice address 27 S Cooks Bridge Rd Ste 1-1, Jackson, NJ, 08527
Fax (732) 994-7389
Enumeration date Sep 17, 2025
Last updated in NPPES Sep 17, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers Primary

Authorized official

Name Gabriel Ouellette
Title Authorized Agent

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-17. Verify at npiregistry.cms.hhs.gov.
Where is Jackson Village Pharmacy LLC located?
The practice location on file with NPPES is in Jackson, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-17.