Jac Stores Inc
Jac Stores Inc is a healthcare organization registered as Long Term Care Pharmacy in Tuscola, IL, holding Type 2 (organization) NPI 1568257905 since 2025. The authorized official on file is David Falk, Owner.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1568257905 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jac Stores Inc |
| Parent organization | Jac Stores Inc |
| Practice address | 104 E SOUTHLINE RD, Tuscola, IL, 61953 |
| Phone | 2172532309 |
| Fax | 2172535073 |
| 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: 1568257905 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 104 E SOUTHLINE RD, Tuscola, IL, 61953
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093726598 | Jac Stores Inc | Organization | Community/Retail Pharmacy | Tuscola, IL |
| 1568948743 | Skylar Bolduc | Individual | Pharmacist | Tuscola, IL |
Verify this record
Cross-check NPI 1568257905 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
How current is this record?
Where is Jac Stores Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-14.