Jay's Pharmacy of Madison – Community/Retail Pharmacy, NPI 1194231928
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Jay's Pharmacy of Madison
683 E BASE ST
MADISON, FL 323402705
Phone: (850) 253-2599
Fax: (850) 253-2627
Type: Mailing
683 E BASE STREET
MADISON
MADISON, FL 32340
Phone: (850) 253-2599
Fax: (850) 253-2627
Type: Location
828, Jefferson Street, Perry, Taylor County, Florida, 32347, United States
PERRY, FL 323474119
Phone: (850) 584-7800
Fax: (850) 584-7803
Type: Mailing
683, East Base Street, Madison, Madison County, Florida, 32340, United States
MADISON, FL 323402705
Phone: (850) 253-2599
Fax: (850) 253-2627
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (106 days ago).
Enrollment records
1
Earliest due date
2026-02-28
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190703001073 | O | Mass Immunization (Roster Biller Only) | FL | 2026-02-28 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32340)
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