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:
Map and Directions
Authorized official contact:
Name: Kiefer, Bryan Thomas RPH
Phone: (573) 243-3525

Health care specialties

SpecialtyCodeLicense #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 7 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 1891897815 NPPES
Missouri MEDICAID 600130504
Missouri MEDICAID 620130500

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