Jer Ken Inc

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

4884504-1703 Issued in UT

Legal business name

JER KEN INC

Practice address

260 N Main St
Brigham City, UT 84302-2120

Phone

(435) 723-8841

Fax

(435) 734-9567

NPI assigned

Aug 5, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

JER KEN INCAs reported in NPPES

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

Authorized official

Name

Kenny Hoggard, R.PH

Title

Pharmacy Manager

Phone

(435) 723-8841

Specialties & licenses 1

Addresses

Other names 1

• Kent's Thriftway Pharmacy Other name

Part of

Jer Ken Inc

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1588673016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022120",
            "telephone_number": "435-723-8841",
            "fax_number": "435-734-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022120",
            "telephone_number": "435-723-8841",
            "fax_number": "435-734-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JER KEN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JER KEN INC",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOGGARD",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "435-723-8841",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "UT",
            "license": "4884504-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent's Thriftway Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Justin Jensen, B.S.
• Justin Dean Jensen
• Michelle Jensen
• Tyler Jensen
• Richard Howard Jenson, D.D.S
• Martin Ji
• Juana Jimenez
• Jody W. Adams DDS PC
• John W Arrington P C
• Brittany Johnson

• Pharmacotherapy Pharmacist in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Pharmacotherapy Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.