Jons Drug Inc

Key facts

NPI

1194767798

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

260017 (MN)

Legal business name

JONS DRUG INC

Practice address

318 Grant Ave
Eveleth, MN 55734-1524

Phone

(218) 744-2774

Fax

(218) 744-5878

NPI assigned

Jun 11, 2006

Organization subpart

No

Authorized official

Name

Michael Macaccini, RPH

Title

Vice President

Phone

(218) 744-2774

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Eugene Marcaccini, RPH Pharmacist · Eveleth, MN · NPI 1538381413
  NPD (past)
• Michael Geno Marcaccini, PHARMD Pharmacist · Eveleth, MN · NPI 1093190191
  NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in MN

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• JONS DRUG Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 23, 2017.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1194767798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 GRANT AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341524",
            "telephone_number": "218-744-2774",
            "fax_number": "218-744-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 GRANT AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341524",
            "telephone_number": "218-744-2774",
            "fax_number": "218-744-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONS DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "MACACCINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "218-744-2774",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260017",
            "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": "PK",
            "identifier": "2046140",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177258900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JONS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Eveleth, MN · Community/Retail Pharmacy in Minnesota