Jones Drug Store Inc
LBN: Jones Drug Store Inc
Jones Drug Store Inc is an health care organization with primary practice located at 125 Court Street , Jackson MO 63755. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jones Drug Store Inc can be contacted via phone (573) 243-3524, or through Kiefer, Bryan Thomas via phone (573) 243-3525.
Contact Information
Primary practice address
125 Court Street
Jackson MO 63755
Phone: (573) 243-3524
Fax: (573) 243-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10119701 | Missouri |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 10119701 | Missouri |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 005586 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 005586 | Missouri |
Profile Details
| NPI number | 1891897815 |
|---|---|
| LBN Legal business name | Jones Drug Store Inc |
| DBA Doing business as | |
| Authorized official | Kiefer, Bryan Thomas RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Apr 29th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891897815 | NPPES |
| Missouri | MEDICAID | 600130504 | |
| Missouri | MEDICAID | 620130500 |
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