Healthcare Provider Details

I. General information

NPI: 1962334698
Provider Name (Legal Business Name): JONESTOWN PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 JONESTOWN RD STE #5
WINSTON SALEM NC
27104-4621
US

IV. Provider business mailing address

300 JONESTOWN RD STE 5 STE #5
WINSTON SALEM NC
27104-4731
US

V. Phone/Fax

Practice location:
  • Phone: 336-774-1445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ABHIJIT KUMAR CHAUHAN
Title or Position: MEMBER
Credential:
Phone: 919-949-9801