Jones Drug Store P.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JONES DRUG STORE P.C.

Practice address

101 W Main St
Jones, OK 73049-7586

Phone

(405) 399-2277

Fax

(405) 399-3277

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Troy Simons, RPH

Title

President

Phone

(405) 742-8099

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Jones Drug LTC2 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.

• Jones Drug LTC

  • Long Term Care Pharmacy
  • Jones, OK
  • NPI 1376364158
  NPD tax ID

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1134874290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "JONES",
            "state": "OK",
            "postal_code": "730497586",
            "telephone_number": "405-399-2277",
            "fax_number": "405-399-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "JONES",
            "state": "OK",
            "postal_code": "730497586",
            "telephone_number": "405-399-2277",
            "fax_number": "405-399-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES DRUG STORE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-742-8099",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
            "identifier": "1-9139",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jonesdrugok.com",
            "affiliation": "N",
            "endpointDescription": "jones drug",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 W Main St",
            "city": "Jones",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730497586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew David Haught
• Ellen Louise Hickerson, RD/LD
• Hannelore Audrey Maria Hinds, PA-C
• Jones Drug LTC
• Jones Drug Store
• Jones Family Care LLC
• Jones Family Dentistry PLLC
• Spencer Ledbetter, SPENCER LEDBETTER
• Olivia Leeann Martinez
• Paula Lee McKelvey, OT

• All providers in Jones, OK
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.