JONES DRUG STORE (NPI# 1265568745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265568745 |
| Entity Type | Organization |
| Organization Name | JONES DRUG STORE |
| Other Organization Name | JONES DRUG |
| Practice Address |
216 Greenwood Ave South Lepanto AR 72354 |
| Mailing Address |
Po Box 723 Lepanto AR 72354-0723 |
| Practice Telephone | 8704752617 |
| Practice Fax Number | 8704752617 |
| Mailing Telephone | 8704752617 |
| Mailing Fax Number | 8704752617 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | SAM HOLCOMB (PHARMACIST) |
| Authorized Official Telephone | 8704752617 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | AR03953 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NABP NUMBER | 0403953 | 01 |
| AR | ARKANSAS STATE LICENSE NU | AR03953 | 01 |
| AR | DEA NUMBER | AH5147738 | 01 |
| AR | 100345407 | 05 |
| Other Name | Type Code |
|---|---|
| JONES DRUG | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316000862 | Jones Drug Store | Durable Medical Equipment & Medical Supplies | 101 W Main St, Jones, OK 73049-7586 | 2006-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | JONES DRUG STORE, LLC | 101 W Main, Po Box 607, Jones, OK 73049 |
| Street Address |
216 GREENWOOD AVE SOUTH |
| City | LEPANTO |
| State | AR |
| Zip Code | 72354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992298756 | Hannah Nicole Tyler | Case Manager/Care Coordinator | 122 Will Henry Dr., Lepanto, AR 72354 | 2018-06-07 |
| 1295952182 | East Arkansas Family Health Center Inc. | Pharmacy | 102 W Broad, Lepanto, AR 72354 | 2007-04-20 |
| 1922139062 | East Arkansas Family Health Center Inc. | Clinic/Center | 102 West Broad, Lepanto, AR 72354 | 2007-03-08 |
| 1316041957 | T W Wagner Inc | Clinic/Center | 331 Broad Street, Suite B, Lepanto, AR 72354 | 2006-09-12 |
| 1053528778 | Lisa J Booker | Nurse Practitioner | 260 West Broad Street, Lepanto, AR 72354-0000 | 2007-05-16 |
| 1902885015 | Sumner R Cullom | General Practice | 260 W Broad St, Lepanto, AR 72354-0723 | 2006-01-17 |
| 1225373749 | Joseph Daniel Mcguinness | Physician Assistant | 102 W Broad St, Lepanto, AR 72354-2200 | 2012-12-10 |
| 1538444252 | Mike Miller | Pharmacist | 102 W Broad St, Lepanto, AR 72354-2200 | 2011-10-13 |
| 1366608895 | East Arkansas Family Health Center | Dentist | 102 W Broad St, Lepanto, AR 72354-2200 | 2008-08-04 |
| 1114994035 | Kristi Renee Allen | Nurse Practitioner | 102 W Broad St, Lepanto, AR 72354-2200 | 2006-03-01 |
| Find all providers in zip 72354 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198212 | Rachel Hardke | Pharmacy | 14984 Highway 86 W, Hazen, AR 72064-8348 | 2020-06-09 |
| 1821612326 | Sheridan Family Pharmacy LLC | Pharmacy | 677 Heritage Drive, Sheridan, AR 72150-5000 | 2020-06-01 |
| 1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
| 1376048124 | Bono Family Pharmacy, LLC | Pharmacy | 10040 Highway 63 S Ste 4, Bono, AR 72416-8669 | 2018-03-26 |
| 1073014866 | East End Express Pharmacy Inc | Pharmacy | 21019 Highway 167, Suite 100, Hensley, AR 72065 | 2018-02-27 |
| 1326546524 | White River Pharmacy, LLC | Pharmacy | 7321 W Sunset Ave Ste G, Springdale, AR 72762-0990 | 2018-01-23 |
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1952814857 | Health-wise Pharmacy Pllc | Pharmacy | 47 S Hwy 71 Bypass, Waldron, AR 72958 | 2017-11-14 |
| 1598278806 | Genoa Healthcare, LLC | Pharmacy | 21 Bridgeway Rd Ste P, North Little Rock, AR 72113-9514 | 2017-11-08 |
| 1811414972 | Genoa Healthcare, LLC | Pharmacy | 715 N College Ave Ste P1, El Dorado, AR 71730-4403 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.