Jen&Josh Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR16330 Issued in AR

Legal business name

JEN&JOSH INC

Doing business as

Dierks Pharmacy

Practice address

323 Main St
Dierks, AR 71833-0140

Phone

(870) 286-3131

Fax

(870) 286-2547

NPI assigned

Aug 11, 2006

Last updated

Oct 19, 2022By 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

Jennifer JonesNPI 1962008300

Title

President

Phone

(870) 285-3309

Specialties & licenses 3

Addresses

Other names 1

• Dierks Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

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.

• Jennifer Leigh Jones, PHARM.D.

  • Pharmacist
  • Dierks, AR
  • NPI 1962008300
  NPD Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1497766604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "DIERKS",
            "state": "AR",
            "postal_code": "718330069",
            "telephone_number": "870-286-3131",
            "fax_number": "870-286-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "DIERKS",
            "state": "AR",
            "postal_code": "718330140",
            "telephone_number": "870-286-3131",
            "fax_number": "870-286-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN&JOSH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-285-3309"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR16330",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dierks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Nicole Ellis
• Priscilla Ann Faulkner, LPC
• Shelby Gail Foshee
• Robert Ernest Gunter, DDS
• Impact Counseling Clinic, Incorporated
• Jennifer Leigh Jones, PHARM.D.
• Lansdell Family Clinic PLLC
• Nita Moore, C.R.T.
• Breanna Nicole Mounts
• Veronica Ozura, LAC

• Community/Retail Pharmacy in Dierks, AR
• Providers in Dierks, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.