Organization Active NPI

Jr Scripts Pharmacy No 1 LLC

  • Community/Retail Pharmacy
  • Terre Haute, IN
National Provider Identifier
1366546319
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60005617A Issued in IN
Legal business name
JR SCRIPTS PHARMACY NO 1 LLC
Practice address
2902 Poplar St
Terre Haute, IN 47803-2661
Phone
(812) 478-1006
Fax
(812) 478-9296
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60005617A IN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2902 Poplar St
Terre Haute, IN 47803-2661

Mailing address

1238 S 3Rd St Ste C
Terre Haute, IN 47802-0018
Phone (812) 234-8305

Other identifiers 1

IdentifierTypeStateIssuer
200334270AMedicaidIN

Other names 1

  • JR PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003683 IN DME Supplier - Pharmacy 5496967440 Practice locations: Terre Haute, IN
O20210126001051 IN Part B Supplier - Mass Immunization (Roster Biller Only) 5496967440 Practice locations: Terre Haute, IN

National Provider Directory

National Provider Directory
Tax ID family
Jr Pharmacy2 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.

Locations

2902 Poplar St
Terre Haute, IN 47803
Phone (812) 478-1006

1238 S 3rd St
Ste C
Terre Haute, IN 47802
Phone (812) 234-8305

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1366546319",
    "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": "2902 POPLAR ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032661",
            "telephone_number": "812-478-1006",
            "fax_number": "812-478-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR SCRIPTS PHARMACY NO 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "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": "60005617A",
            "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": "200334270A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • 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.