MEDICARE: JONES DRUGS LLC

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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	114515	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2154043	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154797629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONES DRUGS LLC

Provider Business Mailing Address
First Line	:	3881 ATLANTA HWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-3633
Country	:	US
Telephone Number	:	334-264-1110
Fax Number	:	334-264-1062

Provider Business Practice Location Address
First Line	:	3881 ATLANTA HWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-3633
Country	:	US
Telephone Number	:	334-264-1110
Fax Number	:	334-264-1062

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	JAMES JONES
Credential	:
Telephone Number	:	334-264-1110

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	08/31/2022

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