Organization Active NPI

Jewell Capital PLLC

  • Pharmacy
  • Jonesboro, AR
National Provider Identifier
1275958290
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR20370 Issued in AR
Legal business name
JEWELL CAPITAL PLLC
Practice address
202 E Washington Ave
Jonesboro, AR 72401-3102
Phone
(870) 932-0150
Fax
(870) 932-0870
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Samuel McQuay
Title
Owner/Ceo
Phone
(870) 932-0150

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X AR20370 AR Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

202 E Washington Ave
Jonesboro, AR 72401-3102

Mailing address

202 E Washington Ave
Jonesboro, AR 72401-3102
Phone (870) 932-0150

Other identifiers 1

IdentifierTypeStateIssuer
2147200OtherPK

Other names 1

  • North Central IV & Respiratory Specialsits Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewell Capital PLLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1275958290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013102",
            "telephone_number": "870-932-0150",
            "fax_number": "870-932-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013102",
            "telephone_number": "870-932-0150",
            "fax_number": "870-932-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL CAPITAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MCQUAY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "870-932-0150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR20370",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central IV & Respiratory Specialsits",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.