Active NPI
Jeremy Hancock, PHARMD
- Pharmacist
- Paragould, AR
National Provider Identifier
1205557832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD09832
- Practice address
- 3104 W Kingshighway
Paragould, AR 72450-2612 - Phone
- (870) 236-6118
- Fax
- (870) 236-5886
- NPI assigned
- Sep 12, 2022
- Last updated
- Sep 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD09832 | AR | Primary |
Addresses
Primary practice location
3104 W Kingshighway
Paragould, AR 72450-2612
Mailing address
3104 W Kingshighway
Paragould, AR 72450-2612
Phone (870) 236-6118
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD09832 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Pharmacy Inc | Current | Accepting new patients | |
| Hancock Pharmacy Inc | Current | Accepting new patients |
Locations
3104 W Kingshighway
Paragould, AR 72450
Phone (870) 236-6118
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1205557832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 W KINGSHIGHWAY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724502612",
"telephone_number": "870-236-6118",
"fax_number": "870-236-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 W KINGSHIGHWAY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724502612",
"telephone_number": "870-236-6118",
"fax_number": "870-236-5886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD09832",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "3104 W Kingshighway",
"city": "Paragould",
"state": "AR",
"country_code": "US",
"postal_code": "724502612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.