JBR Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20217 Issued in AR

Legal business name

JBR ENTERPRISES INC

Doing business as

ROLAND'S DRUG STORE

Practice address

112 Houston Ave
Perryville, AR 72126-9451

Phone

(501) 889-5111

Fax

(501) 889-5544

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

John Roland

Title

MGR

Phone

(501) 889-5111

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ROLAND'S DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

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

• Glenn Wood, PHARMD

  • Pharmacist
  • Perryville, AR
  • NPI 1952998361
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1629182696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721260435",
            "telephone_number": "501-889-5111",
            "fax_number": "501-889-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOUSTON AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721269451",
            "telephone_number": "501-889-5111",
            "fax_number": "501-889-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "501-889-5111"
    },
    "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": "AR20217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992810",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140104407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROLAND'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitley Erin Harris, APRN
• Susan Michelle Hawkins, FNP-C
• Kenneth G Holder, DPT
• Amy Hunt
• Jerramy Icenhower, NP
• Rainie Jones
• Madelyn Martin, M.S, SLP-CFY
• Clay D Murphy, DPT
• Perry County Care Center Inc
• Perry County Chiropractic, LLC

• Community/Retail Pharmacy in Perryville, AR
• Providers in Perryville, 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 Jan 17, 2017; 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.