JONES DRUG (JONES DRUG STORE) NPI 1265568745

Pharmacy in Lepanto, AR

NPI 1265568745 Organization Pharmacy

About JONES DRUG (JONES DRUG STORE)

Jones Drug (jones Drug Store) is a provider established in Lepanto, Arkansas specializing in pharmacy. The NPI number of Jones Drug (jones Drug Store) is 1265568745 and was assigned on February 2007. The practitioner's primary taxonomy code is 333600000X with license number AR03953 (AR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Jones Drug. The authorized official of this NPI record is Sam Holcomb Phd (Pharmacist)

NPI

1265568745

Provider NameJONES DRUG (JONES DRUG STORE)
Provider Location Address216 GREENWOOD AVE SOUTH LEPANTO, AR 72354
Provider Mailing AddressPO BOX 723 LEPANTO, AR 72354
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameJONES DRUG
Other Name TypeOther Name (5)
Enumeration Date02-26-2007
Last Update Date07-14-2008


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.AR03953
License StateAR
Taxonomy DescriptionA 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.

Business Address

JONES DRUG
216 GREENWOOD AVE SOUTH
LEPANTO, AR
ZIP 72354
Phone: (870) 475-2617
Fax: (870) 475-2617

Get Directions


Mailing Address

JONES DRUG
PO BOX 723
LEPANTO, AR
ZIP 72354
Phone: (870) 475-2617
Fax: (870) 475-2617



Authorized Official

Authorized Official Name SAM HOLCOMB PHD
Authorized Official TitlePHARMACIST
Authorized Official Phone(870) 475-2617

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0403953OTHER (01)AR
AH5147738OTHER (01)AR
AR03953OTHER (01)AR
100345407MEDICAID (05)AR

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.