Active NPI
LJB Inc
Doing business as Jeffs Prescription Shop
- Pharmacy
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- LJB INC
- Doing business as
- Jeffs Prescription Shop
- Practice address
- 2415 Ring Rd
Elizabethtown, KY 42701 - Phone
- (270) 765-2157
- Fax
- (270) 765-2357
- NPI assigned
- Oct 16, 2006
- Last updated
- Oct 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent F. Williams, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (270) 765-3335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
2415 Ring Rd
Elizabethtown, KY 42701
Mailing address
2415 Ring Rd
Elizabethtown, KY 42701-7941
Phone (270) 765-2157
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801934 | Other | NCPDP | |
| 9013047700 | Other | KY | KYDME |
| P08023 | Other | KY | PHARMACY LICENSE |
| 54002373 | Medicaid | KY |
Other names 1
- Jeffs Prescription Shop
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080422000485 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981782612 | Practice locations: Elizabethtown, KY |
| O20100930026528 | KY | DME Supplier - Pharmacy | 4981782612 | Practice locations: Elizabethtown, KY |
National Provider Directory
National Provider Directory- Tax ID family
- Jeff's LTC Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Elizabethtown, KY
- NPI 1275603128
-
- Pharmacist
- Elizabethtown, KY
- NPI 1699834994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1447330675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427017941",
"telephone_number": "270-765-2157",
"fax_number": "270-765-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-765-2157",
"fax_number": "270-765-2357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LJB INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "270-765-3335",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1801934",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KYDME",
"identifier": "9013047700",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "P08023",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54002373",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jeffs Prescription Shop",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jeffs Prescription Shop",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.