Organization Active NPI

J&K Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Benton, KY
National Provider Identifier
1003956152
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06604 Issued in KY
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

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen K Jones, R.PH.NPI 1295863710
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1801150OtherKYNABP
54014691MedicaidKY

Other names 1

  • dba Nelson Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.