Jac Stores Inc
Jac Stores Inc is a healthcare organization registered as Long Term Care Pharmacy in Nokomis, IL, holding Type 2 (organization) NPI 1396530838 since 2025. The authorized official on file is David Falk, Owner.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1396530838 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jac Stores Inc |
| Parent organization | Jac Stores Inc |
| Practice address | 110 E STATE ST, Nokomis, IL, 62075 |
| Phone | 2175638346 |
| Fax | 2175632418 |
| Enumeration date | 2025-04-14 |
| Last updated in NPPES | 2025-04-14 |
Authorized official
| Name | David Falk |
|---|---|
| Title | Owner |
| Phone | 2173626226 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Jac Stores Inc NPI: 1396530838 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 110 E STATE ST, Nokomis, IL, 62075
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366453862 | Jac Stores Inc | Organization | Community/Retail Pharmacy | Nokomis, IL |
| 1730783986 | Kristen Downs | Individual | Pharmacist | Nokomis, IL |
Verify this record
Cross-check NPI 1396530838 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 2025-04-14.