Brandon Jones Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

112383 Issued in AL

Legal business name

BRANDON JONES INC

Doing business as

Clark's Pharmacy

Practice address

241 Billy Dyar Blvd
Boaz, AL 35957-7102

Phone

(256) 840-1100

Fax

(256) 840-1119

NPI assigned

Jun 1, 2006

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Jones

Title

Owner/Pharmacist

Phone

(256) 840-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Clark's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clark Thomas Astin, RPH

  • Pharmacist
  • Boaz, AL
  • NPI 1619057833
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1265479778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 BILLY DYAR BLVD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359577102",
            "telephone_number": "256-840-1100",
            "fax_number": "256-840-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 BILLY DYAR BLVD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359577102",
            "telephone_number": "256-840-1100",
            "fax_number": "256-840-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON JONES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "256-840-1100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157113",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boaz Discount Drugs Inc
• Boaz Family Medicine, PC
• Joy Rotton Bolt, CRNA
• Ethan Caleb Bonds, CRNP
• Elizabeth Bradford
• Maury Bray III, M.D.
• Briggs Endeavors LLC
• Casey Brooks, LAT, ATC
• Jessica Bryant, OTR/L
• Tiffany Brown Butler, CRNP

• Community/Retail Pharmacy in Boaz, AL
• Providers in Boaz, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.