Medicine Shoppe

LBN: J & L Street Inc
Medicine Shoppe is an health care organization with primary practice located at 807 E Jackson Blvd , Jonesborough TN 37659-1507. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. J & L Street Inc can be contacted via phone (423) 753-2441, or through Simerly, Keri via phone (423) 741-4231.

Contact Information

Primary practice address
807 E Jackson Blvd Jonesborough TN 37659-1507
Phone: (423) 753-2441
Fax: (423) 753-0477
Website:
Map and Directions
Authorized official contact:
Name: Simerly, Keri
Phone: (423) 741-4231

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2952 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1871665679
LBN Legal business name J & L Street Inc
DBA Doing business as Medicine Shoppe
Authorized official Simerly, Keri
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871665679 NPPES
Other 4428620 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 3698448 OTHER ID NUMBER-COMMERCIAL NUMBER

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