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NPI Code Detail

MEDICARE: JONES PHARMACY INC

MEDICARE: JONES PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0004XCompounding Pharmacy
33336C0003XCommunity/Retail PharmacyP07420KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22127791OTHERPK

General Provider Information

NPI Number : 1932426020
Entity Type Code : Organization
Provider Name (Legal Business Name) : JONES PHARMACY INC
Provider Business Mailing Address
First Line : PO BOX 9245
Second Line :
City : PADUCAH
State : KY
Zip : 42002-9245
Country : US
Telephone Number : 270-444-7070
Fax Number : 270-444-7970
Provider Business Practice Location Address
First Line : 2670 NEW HOLT RD STE D
Second Line : SUITE D
City : PADUCAH
State : KY
Zip : 42001-7506
Country : US
Telephone Number : 270-444-7070
Fax Number : 270-444-7970
Authorized Official
Title or Position : PRESIDENT
Name : DANIEL JONES
Credential :
Telephone Number : 270-444-7070
Provider Enumeration Date : 04/28/2010
Last Update Date : 11/22/2016

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