Organization Active NPI

Jones Prescription Shop, Inc.

  • Community/Retail Pharmacy
  • Jesup, GA
National Provider Identifier
1528024940
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
006404 Issued in GA
Legal business name
JONES PRESCRIPTION SHOP, INC.
Practice address
101 Peachtree St
Jesup, GA 31545-0211
Phone
(912) 427-8826
Fax
(912) 530-6169
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carey Beecher JonesNPI 1972630143
Title
Owner
Phone
(912) 427-8826

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 006404 GA Primary

Addresses

Primary practice location

101 Peachtree St
Jesup, GA 31545-0211

Mailing address

101 Peachtree St
Jesup, GA 31545-0211
Phone (912) 427-8826

Other identifiers 1

IdentifierTypeStateIssuer
00296612AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100209000388 GA Part B Supplier - Mass Immunization (Roster Biller Only) 5991848277 Practice locations: Jesup, GA
O20100930100712 GA DME Supplier - Pharmacy 5991848277 Practice locations: Jesup, GA

National Provider Directory

National Provider Directory
Tax ID family
Jones Prescription Shop Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1528024940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450211",
            "telephone_number": "912-427-8826",
            "fax_number": "912-530-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450211",
            "telephone_number": "912-427-8826",
            "fax_number": "912-530-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES PRESCRIPTION SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "BEECHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-427-8826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "006404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00296612A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.