Joken Inc
Organization Active NPI Pharmacist · Gladewater, TX
NPI 1366448003 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366448003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 01871 (TX)
- Legal business name
- JOKEN INC
- Practice address
- 100 S Main St
Gladewater, TX 75647-2716 - Phone
- (903) 845-2577
- Fax
- (903) 845-1104
- NPI assigned
- Jun 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Sherman Charles Kennedy, RPH
- Title
- Owner Pharmacist-in-Charge
- Phone
- (903) 845-2577
National Provider Directory
Locations
100 S Main St
Gladewater, TX 75647
Phone (903) 845-2577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 01871 | TX | Yes |
Addresses
Primary practice location
100 S Main St
Gladewater, TX 75647-2716
Mailing address
100 S Main St
Gladewater, TX 75647-2716
Phone (903) 845-2577
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140882 | Medicaid | TX |
Other names
- Jobe Drug Co
Other providers in Gladewater, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.