Provider Demographics
NPI:1346591401
Name:JONES PHARMACY INC
Entity type:Organization
Organization Name:JONES PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-444-7070
Mailing Address - Street 1:PO BOX 9245
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9245
Mailing Address - Country:US
Mailing Address - Phone:270-444-7070
Mailing Address - Fax:270-444-7970
Practice Address - Street 1:4630 VILLAGE SQUARE DR STE 104
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7501
Practice Address - Country:US
Practice Address - Phone:270-444-3919
Practice Address - Fax:270-444-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1833347OtherNCPDP PROVIDER IDENTIFICATION NUMBER