Prescription Shop Hazen LLC
Organization Active NPI Community/Retail Pharmacy · Hazen, AR
NPI 1477688463 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1477688463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 7514 (AR)
- Legal business name
- PRESCRIPTION SHOP HAZEN LLC
- Practice address
- 202 South Livermore
Hazen, AR 72064-0507 - Phone
- (870) 255-4403
- Fax
- (870) 255-3772
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Preston Jett Jones
- Title
- President
- Phone
- (870) 255-4403
Practitioners 2
-
Preston Jett Jones, PHARMD
-
Jennifer Kelly, PD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250611003658 | AR | Part B Supplier - Pharmacy | 6305278771 | Practice locations: Hazen, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 7514 | AR | Yes |
Addresses
Primary practice location
202 South Livermore
Hazen, AR 72064-0507
Mailing address
PO Box 507
Hazen, AR 72064-0507
Phone (870) 255-4403
Other names
- Prescription Shop
- THE PRESCRIPTION SHOP
Other providers in Hazen, AR
- Hazen SNF Operator LLC
- Mary Alison Kee
- Jennifer Kelly
- Allison Kreimeier
- Amanda G Owens
- Prescription Shop Hazen LLC LTC
- Laura Shores
- Spring Brook Health & Rehab Center, LLC
- Spring Place Healthcare & Rehabilitation Center LLC
- Michelle Leigh Taylor
All providers in Hazen, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. 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.