Joken Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

01871 Issued in TX

Legal business name

JOKEN INC

Doing business as

Jobe Drug Co

Practice address

100 S Main St
Gladewater, TX 75647-2716

Phone

(903) 845-2577

Fax

(903) 845-1104

NPI assigned

Jun 27, 2005

Last updated

Aug 22, 2020By 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

Mr. Sherman Charles Kennedy, RPH

Title

Owner Pharmacist-in-Charge

Phone

(903) 845-2577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jobe Drug Co Doing business as

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366448003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756472716",
            "telephone_number": "903-845-2577",
            "fax_number": "903-845-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756472716",
            "telephone_number": "903-845-2577",
            "fax_number": "903-845-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOKEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "903-845-2577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "01871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jobe Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Gladewater, TX
• Providers in Gladewater, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.