THE PRESCRIPTION SHOP (J&B KELLY, INC) NPI 1477688463

Pharmacy (Community/Retail Pharmacy) in Hazen, AR

NPI 1477688463 Organization Pharmacy Community/Retail Pharmacy

About THE PRESCRIPTION SHOP (J&B KELLY, INC)

The Prescription Shop (j&b Kelly, Inc) is a provider established in Hazen, Arkansas specializing in pharmacy (community/retail pharmacy) . The NPI number of The Prescription Shop (j&b Kelly, Inc) is 1477688463 and was assigned on February 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 7514 (AR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as The Prescription Shop. The authorized official of this NPI record is Mr. Joseph Byrum Kelly (President)

NPI

1477688463

Provider NameTHE PRESCRIPTION SHOP (J&B KELLY, INC)
Provider Location Address158 SOUTH LIVERMORE ST HAZEN, AR 72064
Provider Mailing Address158 SOUTH LIVERMORE ST P.O. BOX 507 HAZEN, AR 72064
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTHE PRESCRIPTION SHOP
Other Name TypeDoing Business As (3)
Enumeration Date02-22-2007
Last Update Date07-17-2008


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.7514
License StateAR
Taxonomy DescriptionA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

THE PRESCRIPTION SHOP
158 SOUTH LIVERMORE ST
HAZEN, AR
ZIP 72064
Phone: (870) 255-4403
Fax: (870) 255-3772

Get Directions


Mailing Address

THE PRESCRIPTION SHOP
158 SOUTH LIVERMORE ST
P.O. BOX 507
HAZEN, AR
ZIP 72064
Phone: (870) 255-4403
Fax: (870) 255-3772



Authorized Official

Authorized Official NameMR. JOSEPH BYRUM KELLY
Authorized Official TitlePRESIDENT
Authorized Official Phone(870) 255-4403

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
1198840001MEDICARE NSC (07)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.