J & K Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J & K PHARMACY SERVICES LLC

Doing business as

Corner Drug Company

Practice address

802 Earl Frye Blvd
Amory, MS 38821-5505

Phone

(662) 256-5920

NPI assigned

Nov 7, 2018

Last updated

May 30, 2023By 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

Kristen O'Brian, PHARM.D.NPI 1023535812

Title

Pharmacist-in-Charge

Phone

(662) 256-5920

Specialties & licenses 1

Addresses

Other names 1

• Corner Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Tax ID family

Corner Drug Company2 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.

• J & K Pharmacy Services LLC

  • Long Term Care Pharmacy
  • Amory, MS
  • NPI 1417731753
  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, and the practitioner matching its NPPES authorized official.

• Kristen Shay O'Brian, PHARM D

  • Pharmacist
  • Aberdeen, MS
  • NPI 1023535812
  NPD Authorized official

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1407324569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388210723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215505",
            "telephone_number": "662-256-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & K PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2023-05-30",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "662-256-5920",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corner Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoat Minh Hoang, MD
• Karlee Russom Hopkins, PT, DPT
• Cara Hopper, DPT
• Crystal Hunter
• Hillary Leanne Hutto, DPT
• J & K Pharmacy Services LLC
• J-Lynn Medical Supplies
• Christy F Jaggers, FNP
• Amber James, PHARMD
• John Russell, III, D.M.D.

• Community/Retail Pharmacy in Amory, MS
• Providers in Amory, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.