Active NPI
J&K Pharmacy, Inc.
- Community/Retail Pharmacy
- Benton, KY
National Provider Identifier
1003956152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P06604
- Legal business name
- J&K PHARMACY, INC.
- Practice address
- 1112 Main St
Benton, KY 42025-1450 - Phone
- (270) 527-3616
- Fax
- (270) 527-5520
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen K Jones, R.PH.
- Title
- Owner
- Phone
- (270) 527-3616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P06604 | KY | Primary |
Addresses
Primary practice location
1112 Main St
Benton, KY 42025-1450
Mailing address
1112 Main St
Benton, KY 42025-1450
Phone (270) 527-3616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801150 | Other | KY | NABP |
| 54014691 | Medicaid | KY |
Other names 1
- dba Nelson Pharmacy
National Provider Directory
National Provider DirectoryLocations
1112 Main St
Benton, KY 42025
Phone (270) 527-3616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Benton, KY
- NPI 1295863710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1003956152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 MAIN ST",
"city": "BENTON",
"state": "KY",
"postal_code": "420251450",
"telephone_number": "270-527-3616",
"fax_number": "270-527-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 MAIN ST",
"city": "BENTON",
"state": "KY",
"postal_code": "420251450",
"telephone_number": "270-527-3616",
"fax_number": "270-527-5520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J&K PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-527-3616",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P06604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1801150",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54014691",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Nelson Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.