Active NPI
Jones Pharmacy, LLC
Doing business as Jones Pharmacy
- Community/Retail Pharmacy
- Lexington, TN
National Provider Identifier
1891881090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 269
- Legal business name
- JONES PHARMACY, LLC
- Doing business as
- Jones Pharmacy
- Practice address
- 101 Lexington Plaza
Lexington, TN 38351 - Phone
- (731) 968-8653
- Fax
- (731) 967-0939
- NPI assigned
- Oct 5, 2006
- Last updated
- Dec 23, 2019
- 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
- Samuel D Pace, PHARMD
- Title
- Owner/Pic
- Phone
- (731) 614-4259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 269 | TN | Primary |
Addresses
Primary practice location
101 Lexington Plaza
Lexington, TN 38351
Mailing address
101 Lexington Plaza
Lexington, TN 38351
Phone (731) 968-8653
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3538067 | Medicaid | TN | |
| 4417401 | Other | NABP | |
| 9440432 | Medicaid | TN |
Other names 1
- Jones Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190422001465 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800146028 | Practice locations: Lexington, TN |
National Provider Directory
National Provider DirectoryLocations
101 Lexington Plz
Lexington, TN 38351
Phone (731) 968-8653
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Lexington, TN
- NPI 1659126191
-
- Pharmacist
- Lexington, TN
- NPI 1851129639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577059200000",
"number": "1891881090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LEXINGTON PLAZA",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "38351",
"telephone_number": "731-968-8653",
"fax_number": "731-967-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LEXINGTON PLAZA",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "38351",
"telephone_number": "731-968-8653",
"fax_number": "731-967-0939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONES PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "731-614-4259",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3538067",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4417401",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9440432",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jones Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.