Jones Drug Store Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10119701 Issued in MO

Legal business name

JONES DRUG STORE INC

Practice address

125 Court St
Jackson, MO 63755-1807

Phone

(573) 243-3524

Fax

(573) 243-2366

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Thomas E Brockett, R.P.H.

Title

Owner/Pharmacist

Phone

(573) 243-3524

Specialties & licenses 1

Addresses

Tax ID family

Jones Drug Store 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.

• Jones Drug Store Inc

  • Long Term Care Pharmacy
  • Jackson, MO
  • NPI 1649994351
  NPD tax ID

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174528293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COURT ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551807",
            "telephone_number": "573-243-3524",
            "fax_number": "573-243-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COURT ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551807",
            "telephone_number": "573-243-3524",
            "fax_number": "573-243-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCKETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "573-243-3524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "10119701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Primary Care LLC
• Jackson Primary Care LLC
• Jackson R-2 Schools
• Stephanie Jansen, DC
• Dwight Hood Johnson, D.D.S.
• Jones Drug Store Inc
• Jones Drug Store Inc
• Abigail Renae Kasten, DPT
• Kelsey Leeann Kasten
• Elise Keele

• Durable Medical Equipment & Medical Supplies in Jackson, MO
• Providers in Jackson, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.