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Jacks Pharmacy Inc

Durable Medical Equipment & Medical Supplies in St Maries, ID · enumerated 2007 · authorized official Colt Darley, Pharmacist/President.

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

National Provider Identifier

1619001187

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Jacks Pharmacy Inc
Practice address 103 E College Ave, St Maries, ID, 83861
Fax (208) 245-5004
Enumeration date Mar 15, 2007
Last updated in NPPES Apr 23, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 1368CP (ID) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Colt Darley
Title Pharmacist/President

Other identifiers

Identifier Type State Issuer
1303483 Other ID NCPDP
002494500 Medicaid ID -
002494400 Medicaid ID -

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 Jacks Pharmacy Inc?
Jacks Pharmacy Inc is registered in NPPES as a Durable Medical Equipment & Medical Supplies (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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-23.