Jeraben Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06639 Issued in KY

Legal business name

JERABEN INC

Doing business as

Mills Drug Store

Practice address

1000 E 4TH St
Owensboro, KY 42303-3323

Phone

(270) 683-1571

Fax

(270) 926-4619

NPI assigned

Nov 3, 2006

Last updated

Jun 15, 2011By 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

William Franey, RPH

Title

Owner

Phone

(270) 683-1571

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MILLS DRUG STORE Doing business as

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 C Hayden

  • Pharmacist
  • Owensboro, KY
  • NPI 1023244597
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1467531137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 4TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033323",
            "telephone_number": "270-683-1571",
            "fax_number": "270-926-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 4TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033323",
            "telephone_number": "270-683-1571",
            "fax_number": "270-926-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERABEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "FRANEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-683-1571",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54002191",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1807669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britni A Jenkins, PHARMD
• Kristy Jenkins
• Mary Teresa Jenkins
• Jennifer a Martin MD PLLC
• Dana N Jennings, PA-C
• Jeremy Bradley MD PSC
• Jerry & Carolyn Despain Hearing Aid Center, LLC (Beltone Hearing Aid Center)
• Jessica Gayle McFarling
• Jessica Gayle McFarling LCSW, LLC (Umbrella Therapeutic Services)
• Sandra Jewell-Latta, LCSW

• Community/Retail Pharmacy in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.