Individual provider Active NPI

Preston Jett Jones, PHARMD

  • Pharmacist
  • Jonesboro, AR
National Provider Identifier
1184063406
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD12333 Issued in AR
Practice address
325 Southwest Dr Ste a
Jonesboro, AR 72401-5854
Phone
(870) 935-1340
Fax
(870) 935-3329
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD12333 AR Primary

Addresses

Primary practice location

325 Southwest Dr Ste a
Jonesboro, AR 72401-5854

Mailing address

325 Southwest Drive
Suite a
Jonesboro, AR 72401
Phone (870) 674-7170

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jonesboro.medicineshoppe.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD12333ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
G and M Pharmacy Inc CurrentSince Jan 19, 2020 Accepting new patients
Prescription Shop Hazen LLC Current Accepting new patients
G and M Pharmacy Inc CurrentSince Jun 21, 2022 Accepting new patients
Walgreen Co PastSince Mar 6, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

325 Southwest Dr
#A
Jonesboro, AR 72401
Phone (870) 935-1340

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1184063406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SOUTHWEST DRIVE",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-674-7170",
            "fax_number": "870-935-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUTHWEST DR STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015854",
            "telephone_number": "870-935-1340",
            "fax_number": "870-935-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PRESTON",
        "middle_name": "JETT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jonesboro.medicineshoppe.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Info/Pharmacy Messaging",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "325 Southwest Dr Ste A",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724015854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.