Organization Active NPI

Jitney Pharmacies Incorporated

  • Community/Retail Pharmacy
  • Lexington, MS
National Provider Identifier
1952889255
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JITNEY PHARMACIES INCORPORATED
Practice address
301 Yazoo St
Lexington, MS 39095-3644
Phone
(662) 834-3378
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Nicholas S King
Title
President
Phone
(662) 571-8861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

301 Yazoo St
Lexington, MS 39095-3644

Mailing address

334 Depot St
Lexington, MS 39095-3607
Phone (662) 746-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211028000719 MS Part B Supplier - Pharmacy 2668860487 Practice locations: Lexington, MS

National Provider Directory

National Provider Directory

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1952889255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 DEPOT ST",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953607",
            "telephone_number": "662-746-3253",
            "fax_number": "662-746-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YAZOO ST",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953644",
            "telephone_number": "662-834-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITNEY PHARMACIES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-571-8861"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.