Healthcare Provider Details

I. General information

NPI: 1912013673
Provider Name (Legal Business Name): JAMIE D. JONES RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE JONES PHARMACIST

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 NEWCOMB AVE ROCKCASTLE PROFESSIONAL PHARMACY
MOUNT VERNON KY
40456-2728
US

IV. Provider business mailing address

103 HARRISON CT
BEREA KY
40403-1781
US

V. Phone/Fax

Practice location:
  • Phone: 606-256-4613
  • Fax: 606-256-9120
Mailing address:
  • Phone: 859-986-5637
  • Fax: 859-302-1583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number09724
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: