J & L Street Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J & L STREET INC

Practice address

807 E Jackson Blvd
Jonesborough, TN 37659-1507

Phone

(423) 753-2441

Fax

(423) 753-0477

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Keri Simerly

Title

Pharmacy Manager

Phone

(423) 741-4231

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871665679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591507",
            "telephone_number": "423-753-2441",
            "fax_number": "423-753-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & L STREET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SIMERLY",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "423-741-4231"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "2952",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4428620",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3698448",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Michelle Huffine
• Rallie Deann Hurley, PHARM.D
• Independent Physical Therapy, LLC
• Ingles Markets Inc
• Integrity Healthcare of Jonesborough, LLC
• Rebekah Page Jackson, OTR/L
• Michael E Jewett, M.D.
• Katlynn Lee Johnson, IBCLC
• Jonesborough Adult & Geriatric Medicine LLC
• Jonesborough Drug

• All providers in Jonesborough, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.