Prescription Shop Hazen LLC LTC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PRESCRIPTION SHOP HAZEN LLC LTC

Doing business as

Prescription Shop Hazen LLC LTC

Practice address

202 S Livermore St
Hazen, AR 72064-8343

Phone

(870) 255-4403

Fax

(870) 255-3772

NPI assigned

Sep 19, 2024

Last updated

Apr 27, 2026By 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

Preston Jones

Title

Owner

Phone

(870) 255-4403

Specialties & licenses 1

Addresses

Other names 1

• Prescription Shop Hazen LLC LTC Doing business as

Practitioners 1

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.

• Jennifer Kelly, PD

  • Pharmacist
  • Hazen, AR
  • NPI 1528656121
  NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1912734211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "HAZEN",
            "state": "AR",
            "postal_code": "720640507",
            "telephone_number": "870-255-4403",
            "fax_number": "870-255-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S LIVERMORE ST",
            "city": "HAZEN",
            "state": "AR",
            "postal_code": "720648343",
            "telephone_number": "870-255-4403",
            "fax_number": "870-255-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOP HAZEN LLC LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-255-4403"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Shop Hazen LLC LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Alison Kee, APRN
• Jennifer Kelly, PD
• Allison Kreimeier, MS, RD, CSSD
• Amanda G Owens, MSW, LCSW
• Prescription Shop Hazen LLC (Prescription Shop)
• Laura Shores, RD, LD
• Spring Brook Health & Rehab Center, LLC (SpringBrook Health & Rehab Center)
• Spring Place Healthcare & Rehabilitation Center LLC
• Michelle Leigh Taylor, APRN
• Christa Caroline Tiner, RN BSN

• Long Term Care Pharmacy in Hazen, AR
• Providers in Hazen, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.