JRS Enterprises II Missouri LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2017011003 Issued in MO

Legal business name

JRS ENTERPRISES II MISSOURI LLC

Doing business as

Versailles Pharmacy

Practice address

700 W Clay Rd
Versailles, MO 65084-1012

Phone

(573) 378-5000

Fax

(573) 378-1920

NPI assigned

Dec 30, 2016

Last updated

Feb 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James SteppNPI 1609152107

Title

Owner

Phone

(573) 378-5000

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Versailles Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bond Drug Store, LLC

  dba Tipton Pharmacy

  • Community/Retail Pharmacy
  • Tipton, MO
  • NPI 1023620838

  O20171009002935

  Same enrollment

Practitioners 2

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.

• James Richard Stepp, PHARMD

  • Pharmacist
  • Tipton, MO
  • NPI 1609152107
  NPD Authorized official
• Susan Elizabeth Hill, RPH

  • Pharmacist
  • Versailles, MO
  • NPI 1811174436
  NPD

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1659816551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WEST CLAY ROAD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "65084",
            "telephone_number": "573-378-5000",
            "fax_number": "573-378-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CLAY RD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841012",
            "telephone_number": "573-378-5000",
            "fax_number": "573-378-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRS ENTERPRISES II MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "STEPP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-378-5000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2017011003",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600042664",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Versailles Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Versailles Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harmony Central, LLC
• Susan Elizabeth Hill, RPH
• Christina Hodges, RN, IBCLC
• Integrity Lifeskills LLC
• JRS Enterprises II Missouri LLC (Versailles Pharmacy LTC)
• Ashley Joann Judd, LPN
• Kevin K.E. Carl, O.D. Dba Eye Clinic
• Kidwell Home
• Rebecca Elaine Kimbell, MSN, APRN, CNP
• Julie Kisner, LCSW

• Community/Retail Pharmacy in Versailles, MO
• Providers in Versailles, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.