Organization Active NPI

Ca & JL Enterprises Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Jacksonville, AR
National Provider Identifier
1093887879
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
72837 Issued in AR
Legal business name
CA & JL ENTERPRISES INC
Doing business as
Medicine Shoppe
Practice address
343 S James St
Jacksonville, AR 72076-4315
Phone
(501) 982-9433
Fax
(501) 843-2758
NPI assigned
Nov 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
James L Bush
Title
Owner
Phone
(501) 982-9433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 72837 AR Primary

Addresses

Primary practice location

343 S James St
Jacksonville, AR 72076-4315

Mailing address

PO Box 1408
Cabot, AR 72023-1408
Phone (501) 982-9433

Other identifiers 4

IdentifierTypeStateIssuer
154888407MedicaidAR
0417332OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0417332OtherARNCPDP
157551716MedicaidAR

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

343 S James St
Jacksonville, AR 72076
Phone (501) 982-9433

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093887879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720231408",
            "telephone_number": "501-982-9433",
            "fax_number": "501-982-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S JAMES ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764315",
            "telephone_number": "501-982-9433",
            "fax_number": "501-843-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA & JL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-982-9433"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "72837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154888407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0417332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0417332",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157551716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.