Jones County Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12483 Issued in MS

Legal business name

JONES COUNTY DRUG INC

Doing business as

Jones County Drug Inc,

Practice address

407 Hill St
Ellisville, MS 39437-2523

Phone

(601) 477-3030

Fax

(601) 477-3131

NPI assigned

Jul 22, 2013

Last updated

Feb 11, 2016By 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

Jack Scoggin

Title

Owner/Pharmacist

Phone

(601) 477-3030

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jones County Drug Inc, Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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.

• Jay Scoggin, RPH

  • Pharmacotherapy Pharmacist
  • Ellisville, MS
  • NPI 1306299607
  NPD

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1942642814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HILL ST",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394372523",
            "telephone_number": "601-477-3030",
            "fax_number": "601-477-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HILL ST",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394372523",
            "telephone_number": "601-477-3030",
            "fax_number": "601-477-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES COUNTY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "SCOGGIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "601-477-3030"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "12483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459747",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones County Drug Inc,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Community Base Waiver - Ess
• Tonya Howard, LPN
• JFMC Ellisville, LLC
• Heather Johnson, LMSW
• Jones County Behavioral Health
• Denicka Jones
• Loverta Jones, IDD WAIVER SERVICES
• Pamela Jones, LCSW
• Sharika Jones, IDD WAIVER SERVICES
• Lauren Nicole Kelly, NP

• Community/Retail Pharmacy in Ellisville, MS
• Providers in Ellisville, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.