J & S Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Camden, TN
NPI 1437214855 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1437214855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0151 (TN)
- Legal business name
- J & S PHARMACY INC
- Practice address
- 175 W Main St
Camden, TN 38320-1621 - Phone
- (731) 584-4711
- Fax
- (731) 584-5906
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Daniel L Jones, PHARMD
- Title
- President
- Phone
- (270) 444-7070
Practitioners 4
-
Daniel Lee Jones, PHARMD
-
Jon Brett Mebane, DPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160512000657 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113047101 | Practice locations: Camden, TN |
| O20240719001943 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072059641 | Practice locations: Camden, TN |
National Provider Directory
Locations
175 W Main St
Camden, TN 38320
Phone (731) 584-4711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0151 | TN | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
175 W Main St
Camden, TN 38320-1621
Mailing address
175 W Main St
Camden, TN 38320-1621
Phone (731) 584-4711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095075 | Other | PK | |
| 1452219 | Medicaid | TN |
Other names
- Herndon Pharmacy
Other providers in Camden, TN
- Hopkins Apothecary, PLLC
- Brad L Hopkins
- Robert Leslie Horton Jr.
- Sherry M Hudson
- Lisa Irwin
- Angela Ruth Jones
- Jordan Kee
- Kelly L King
- Heather Larkins
- Cynthia Audrey Lewis
All providers in Camden, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.