L&J Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2013045671 Issued in MO

Legal business name

L&J PHARMACY INC

Doing business as

Mom and Pop Drug #1 Specialty

Practice address

319 S Main St Ste N-2
Rogersville, MO 65742-9361

Phone

(417) 753-7774

Fax

(417) 753-7786

NPI assigned

Dec 23, 2013

Last updated

Feb 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Coker

Title

Owner

Phone

(417) 459-1436

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Mom and Pop Drug #1 Specialty Doing business as

Tax ID family

LJ Pharmacy 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.

• L&J Pharmacy Inc

  dba Rogersville Pharmacy

  • Long Term Care Pharmacy
  • Rogersville, MO
  • NPI 1407421506
  NPD tax ID

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1083035760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657420260",
            "telephone_number": "417-753-7774",
            "fax_number": "417-753-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MAIN ST STE N-2",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429361",
            "telephone_number": "417-753-7774",
            "fax_number": "417-753-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&J PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-459-1436"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2013045671",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mom and Pop Drug #1 Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Leigh Kent, LCSW
• Dreama Jean Killingsworth, NP-C
• Kinetic Mobility LLC
• Tammy Jo Knight, DPT
• Krista L Koinzan-Boyd, DO
• L&J Pharmacy Inc (Rogersville Pharmacy)
• L&J Pharmacy Inc (Rogersville Pharmacy)
• Lester E Cox Medical Centers (Cox Health Center Rogersville)
• Lester E. Cox Medical Centers (CoxHealth Center Rogersville)
• Logan Rogersville R-VIII

• Long Term Care Pharmacy in Rogersville, MO
• Providers in Rogersville, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.