L&J Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2007000107 Issued in MO

Legal business name

L&J PHARMACY INC

Practice address

317 S Main St
Rogersville, MO 65742-9361

Phone

(417) 753-7774

Fax

(417) 753-7786

NPI assigned

Jan 8, 2007

Organization subpart

No

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

• James Willard Coker, PHARM.D.

  • Pharmacist
  • Rogersville, MO
  • NPI 1265419899
  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

Authorized official

Name

James Coker, PHARMDNPI 1265419899

Title

Owner

Phone

(417) 459-1436

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• ROGERSVILLE PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2023.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684540800000",
    "number": "1992853550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S MAIN ST",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429361",
            "telephone_number": "417-753-7774",
            "fax_number": "417-753-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S MAIN ST",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429361",
            "telephone_number": "417-753-7774",
            "fax_number": "417-753-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&J PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-459-1436",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2007000107",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606278901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROGERSVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROGERSVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinetic Mobility LLC
• Tammy Jo Knight, DPT
• Krista L Koinzan-Boyd, DO
• L&J Pharmacy Inc
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• Lester E Cox Medical Centers
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• Logan Rogersville R-VIII
• Patrick Edward Macmillan, D.O.
• Gayla Manary

• All providers in Rogersville, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; 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.