JMRX LLC
Organization Active NPI Community/Retail Pharmacy · Pocahontas, AR
NPI 1063955672 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1063955672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR20854 (AR)
- Legal business name
- JMRX LLC
- Practice address
- 567 Highway 67 S
Pocahontas, AR 72455-3773 - Phone
- (870) 202-2536
- Fax
- (870) 202-2540
- NPI assigned
- Nov 30, 2016
- Organization subpart
- No
Authorized official
- Name
- Joey Robbins
- Title
- Pharmacist/Owner
- Phone
- (870) 202-2536
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Practitioners 3
-
Greggory Trenton Lance II, PHARM.D.
-
Emily C Late, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200605000772 | AR | Part B Supplier - Pharmacy | 6800217423 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pocahontas, AR; Imboden, AR |
National Provider Directory
- Tax ID family
- JMRX LLC
Locations
567 Highway 67 S
Pocahontas, AR 72455
Phone (870) 202-2536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR20854 | AR | Yes |
Addresses
Primary practice location
567 Highway 67 S
Pocahontas, AR 72455-3773
Mailing address
PO Box 572
Pocahontas, AR 72455-0572
Phone (870) 202-2536
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166594 | Other | PK |
Other names
- RANDOLPH COUNTY DRUG
Other providers in Pocahontas, AR
- Andrea Jansen
- Andrew J Jansen III
- Philip Anthony Jansen
- Catherine Lynn Jarrett
- Chasity Jessen
- JMRX LLC
- Loren Johnson
- Adyson Jones
- Britany Danyel Jones
- Jordan Rorex, LLC
All providers in Pocahontas, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.