Active NPI
Ca & JL Enterprises Inc
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Jacksonville, AR
National Provider Identifier
1093887879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 72837
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154888407 | Medicaid | AR | |
| 0417332 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0417332 | Other | AR | NCPDP |
| 157551716 | Medicaid | AR |
Other names 1
- MEDICINE SHOPPE
National Provider Directory
National Provider DirectoryLocations
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.