Mr Nick Jackson Jr, RPH - Pharmacist in Peshtigo, WI

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Mr Nick Jackson Jr, RPH is a Pharmacist based in Peshtigo, Wisconsin. Mr Nick Jackson Jr is licensed to practice in Wisconsin (license number 1085340) and his current practice location is N3108 Schacht Rd., Peshtigo, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 582-2171.

NPI number for Mr Nick Jackson Jr is 1477806131 and his current mailing address is N3108 Schacht Rd, Peshtigo, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477806131.

Contact Information

Mr Nick Jackson Jr, RPH
N3108 Schacht Rd.,
Peshtigo, WI 54157
(715) 582-2171
(920) 834-9801

Map and Direction


Healthcare Provider's Profile

Full NameMr Nick Jackson Jr
GenderMale
SpecialityPharmacist
LocationN3108 Schacht Rd., Peshtigo, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477806131
  • Provider Enumeration Date: 10/18/2012
  • Last Update Date: 10/18/2012

Medical Identifiers

Medical identifiers for Mr Nick Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477806131NPI-NPPES
1982922860MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 1085340 (Wisconsin)Primary
183500000XPharmacist 5302021431 (Michigan)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nick Jackson Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Nick Jackson Jr, RPH
N3108 Schacht Rd,
Peshtigo, WI 54157-9606

Ph: (715) 582-2171		Mr Nick Jackson Jr, RPH
N3108 Schacht Rd.,
Peshtigo, WI 54157

Ph: (715) 582-2171

Reviews and Comments


Pharmacist in Peshtigo, WI

Mr. Micheal S Scott, R.PH.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 220 French St, Peshtigo, WI 54157
Phone: 715-582-4237    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.