Jeffs Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P02176 Issued in KY

Legal business name

JEFFS PHARMACY INC

Practice address

120 Lothbury Ave
Middlesboro, KY 40965-0954

Phone

(606) 248-0171

Fax

(606) 248-5455

NPI assigned

Jul 5, 2006

Last updated

Jun 9, 2017By 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

Robey Walters

Title

RPH/Owner

Phone

(606) 248-0171

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Jefffrey Moore

  • Pharmacist
  • Speedwell, TN
  • NPI 1205704517
  NPD
• Courtney Carroll, PHARM.D

  • Pharmacist
  • Middlesboro, KY
  • NPI 1700466299
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1275564767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-0171",
            "fax_number": "606-248-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOTHBURY AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409650954",
            "telephone_number": "606-248-0171",
            "fax_number": "606-248-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "ROBEY",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "606-248-0171"
    },
    "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": "KY",
            "license": "P02176",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54024500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mynekia Hudson, APRN
• Robert R Hughes, CRNA
• Stephanie L Hutchison, MD
• Ronny E Ivey, CRNA
• Wilson Jeffrey, OTR/L
• Vikki Lynn Johnson, BSW
• Rachel Andrea Jones-Tackett, CPNP-PC
• Crystal Lee Jones, APRN
• Jacob Edward Jones, MD
• Kaitlyn Jones

• Community/Retail Pharmacy in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.