Active NPI
Jones Drug Store Inc
- Long Term Care Pharmacy
- Jackson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- JONES DRUG STORE INC
- Practice address
- 125 Court St
Jackson, MO 63755-1807 - Phone
- (573) 243-3524
- Fax
- (573) 243-2155
- NPI assigned
- Sep 27, 2022
- Last updated
- Sep 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan T Kiefer, RPH
- Title
- Pharmacist, Owner
- Phone
- (573) 238-4177
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
125 Court St
Jackson, MO 63755-1807
Mailing address
125 Court St
Jackson, MO 63755-1807
Phone (573) 243-3524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600130504 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Jones Drug Store Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jackson, MO
- NPI 1174528293
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Marble Hill, MO
- NPI 1558008631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1649994351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 COURT ST",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551807",
"telephone_number": "573-243-3524",
"fax_number": "573-243-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 COURT ST",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551807",
"telephone_number": "573-243-3524",
"fax_number": "573-243-2155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONES DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-26",
"status": "A",
"authorized_official_last_name": "KIEFER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHARMACIST, OWNER",
"authorized_official_telephone_number": "573-238-4177",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600130504",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.