MEDICARE: J & L STREET 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
1	333600000X	Pharmacy	2952	TN
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4428620	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871665679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & L STREET INC

Provider Business Mailing Address
First Line	:	807 E JACKSON BLVD
Second Line	:
City	:	JONESBOROUGH
State	:	TN
Zip	:	37659-1507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 E JACKSON BLVD
Second Line	:
City	:	JONESBOROUGH
State	:	TN
Zip	:	37659-1507
Country	:	US
Telephone Number	:	423-753-2441
Fax Number	:	423-753-0477

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	KERI SIMERLY
Credential	:
Telephone Number	:	423-741-4231

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	03/07/2023

Similar Medicare Providers

1528168382 — HOWARD GALE PETERSEN DC
Practice Location Address:

807 E JACKSON BLVD , SUITE TWO
JONESBOROUGH, TN
37659-1507

Practice Phone: 423-753-4964
Practice Fax: 423-753-4121

1841323276 — PETERSEN FAMILY CHIROPRACTIC
Practice Location Address:

807 E JACKSON BLVD STE 2
JONESBOROUGH, TN
37659-1507

Practice Phone: 423-753-4964
Practice Fax:

1790959823 — ACME PHARMACY INC
Practice Location Address:

1238 EAST JACKSON BLVD
JONESBOROUGH, TN
37659-1507

Practice Phone: 423-753-2441
Practice Fax: 423-753-0477

1730919572 — KARYN SINGH PHARMD
Practice Location Address:

500 FOREST DR
JONESBOROUGH, TN
37659-1510

Practice Phone: 423-753-3468
Practice Fax:

1427006626 — MICHAEL R FLOYD EDD
Practice Location Address:

208 W MAIN ST
JONESBOROUGH, TN
37659-1230

Practice Phone: 423-306-3249
Practice Fax: 423-464-4212

1033717780 — SEA GATE WELLNESS PLLC
Practice Location Address:

900 E JACKSON BLVD STE 3B
JONESBOROUGH, TN
37659-1505

Practice Phone: 423-930-5205
Practice Fax:

Directions to “J & L STREET INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.