Jepson Drugs LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR06062 Issued in AR

Legal business name

JEPSON DRUGS LLC

Practice address

310 N Progress Ave
Suite #10
Siloam Springs, AR 72761

Phone

(479) 524-4311

Fax

(479) 524-6173

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Seth Wilson, PHARMDNPI 1245807874

Title

Pharmacist-in-Charge, Co-Owner

Phone

(479) 524-4311

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Jepson Drug Store, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Jepson Drug Store Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jepson Drugs LLC

  • Long Term Care Pharmacy
  • Siloam Springs, AR
  • NPI 1932062536
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seth Wilson, PHARM.D.

  • Pharmacist
  • Tontitown, AR
  • NPI 1245807874
  NPD Authorized official
• John Lykins, PD

  • Pharmacist
  • Lowell, AR
  • NPI 1154925543
  NPD
• Rebecca Jeffus, PHARMD

  • Pharmacist
  • Siloam Springs, AR
  • NPI 1629673256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1013069970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N PROGRESS AVE",
            "address_2": "SUITE #10",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-524-4311",
            "fax_number": "479-524-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N PROGRESS AVE",
            "address_2": "SUITE #10",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-524-4311",
            "fax_number": "479-524-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEPSON DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE, CO-OWNER",
        "authorized_official_telephone_number": "479-524-4311",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR06062",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231680A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "0406062",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jepson Drug Store, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Integrated Community Clinics PA
• Invicta Counseling
• Molly Nicole Ireland
• Carey Brent James Jr.
• Rebecca Jeffus, PHARMD
• Jepson Drugs LLC
• John R Holcomb DDS PA
• Amy Johnson, LPCC
• Sara Jane Johnson, APRN
• Steven Johnson, D.O.

• All providers in Siloam Springs, AR
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.