Jr Pharmacy LLC 2

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005646A Issued in IN

Legal business name

JR PHARMACY LLC 2

Practice address

15 Southland Shopping Ctr
Terre Haute, IN 47802-3943

Phone

(812) 232-6655

Fax

(812) 232-6588

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry J Warren

Title

President

Phone

(765) 828-1003

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• JR PHARMACY LLC 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Tax ID family

Jr Pharmacy LLC 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jr Pharmacy LLC 2

  • Long Term Care Pharmacy
  • Terre Haute, IN
  • NPI 1154956118
  NPD tax ID

Locations

Practitioners 1

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

• Mary Rebecca Golden, PHARMD

  • Pharmacist
  • Terre Haute, IN
  • NPI 1316388705
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1275601072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 S 3RD ST STE C",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478020018",
            "telephone_number": "812-234-8305",
            "fax_number": "812-234-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTHLAND SHOPPING CTR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023943",
            "telephone_number": "812-232-6655",
            "fax_number": "812-232-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR PHARMACY LLC 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-828-1003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005646A",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200353020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JR PHARMACY LLC 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph W Bergeron, M.D., P.C.
• Alanna Rae Joseph
• Tia Jovanovich
• Amy Lynn Joy, FNP
• Jr Pharmacy LLC 2
• Jr Pharmacy Poplar LLC
• Jr Pharmacy Poplar LLC
• Jr Scripts Pharmacy No 1 LLC
• Jr Scripts Pharmacy No 1 LLC
• Judson Family Vision Care, LLC

• Community/Retail Pharmacy in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.