Active NPI
J & S Professional Pharmcy Inc
- Community/Retail Pharmacy
- West Frankfort, IL
National Provider Identifier
1659483592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054009363
- Legal business name
- J & S PROFESSIONAL PHARMCY INC
- Practice address
- 309 W Saint Louis St
West Frankfort, IL 62896-2099 - Phone
- (618) 937-2416
- Fax
- (618) 932-6433
- NPI assigned
- Aug 31, 2006
- 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
- Judi Markwell
- Title
- Business Manager
- Phone
- (618) 937-2416
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054009363 | IL | Primary |
Addresses
Primary practice location
309 W Saint Louis St
West Frankfort, IL 62896-2099
Mailing address
309 W Saint Louis St
West Frankfort, IL 62896-2099
Phone (618) 937-2416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022725 | Other | PK |
Other names 1
- J AND S PROFESSIONAL PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141209001357 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3173635893 | Practice locations: West Frankfort, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- West Frankfort, IL
- NPI 1124620760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1659483592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W SAINT LOUIS ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628962099",
"telephone_number": "618-937-2416",
"fax_number": "618-932-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W SAINT LOUIS ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628962099",
"telephone_number": "618-937-2416",
"fax_number": "618-932-6433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & S PROFESSIONAL PHARMCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2017-03-17",
"status": "A",
"authorized_official_last_name": "MARKWELL",
"authorized_official_first_name": "JUDI",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "618-937-2416"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054009363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2022725",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "J AND S PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.