J W Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

00663 Issued in KY

Legal business name

J W PHARMACY

Practice address

817 Main St
Benton, KY 42025-1240

Phone

(270) 527-9374

Fax

(270) 527-3152

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

James H Wiseman

Title

Owner Pres

Phone

(270) 527-9374

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• J & R Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1417067729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251240",
            "telephone_number": "270-527-9374",
            "fax_number": "270-527-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251240",
            "telephone_number": "270-527-9374",
            "fax_number": "270-527-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J W PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "270-527-9374"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "00663",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "00663",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "00663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1801100",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54009600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & R Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Hofer, LMT
• Renee C Humphrey, PHYSICAL THERAPIST
• Brittany A Hunter, APRN
• Inclusionary Therapy LLC
• J & R Consulting Services PLLC
• J&K Pharmacy, Inc.
• April L Jackson, M.D.
• Ali Janell Jessee, D.O.
• Leigh Johnson, PTA
• Catherine N Jones, APRN

• Pharmacy in Benton, KY
• Providers in Benton, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.