Active NPI
Treyvon Demell Jones
- Pharmacist
- Paducah, KY
National Provider Identifier
1215854179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021355
- Practice address
- 3275 Irvin Cobb Dr
Paducah, KY 42003-0338 - Phone
- (270) 443-4885
- NPI assigned
- Jul 1, 2026
- Last updated
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 021355 | KY | Primary |
Addresses
Primary practice location
3275 Irvin Cobb Dr
Paducah, KY 42003-0338
Mailing address
9318 Fernhill Dr
Louisville, KY 40291-1950
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021355 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1782864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1215854179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9318 FERNHILL DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402911950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3275 IRVIN COBB DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420030338",
"telephone_number": "270-443-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TREYVON",
"middle_name": "DEMELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.