Organization Active NPI

Jollys Drug Store LLC

  • Pharmacy
  • Caliente, NV
National Provider Identifier
1831633445
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH03644 Issued in NV
Legal business name
JOLLYS DRUG STORE LLC
Practice address
800 N Spring St
Caliente, NV 89008-0100
Phone
(775) 726-3771
Fax
(775) 726-3685
NPI assigned
Dec 16, 2016
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Jonathan Heaton
Title
Owner
Phone
(775) 726-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH03644 NV Primary

Addresses

Primary practice location

800 N Spring St
Caliente, NV 89008-0100

Mailing address

PO Box 1011
Caliente, NV 89008-1011
Phone (775) 726-3771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1831633445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890081011",
            "telephone_number": "775-726-3771",
            "fax_number": "775-726-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N SPRING ST",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890080100",
            "telephone_number": "775-726-3771",
            "fax_number": "775-726-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLYS DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-726-3771"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "PH03644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caliente, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.