J & R Pharmacy

LBN: J W Pharmacy
J & R Pharmacy is an health care organization with primary practice located at 817 Main St , Benton KY 42025-1240. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. J W Pharmacy can be contacted via phone (270) 527-9374, or through Wiseman, James H via phone (270) 527-9374.

Contact Information

Primary practice address
817 Main St Benton KY 42025-1240
Phone: (270) 527-9374
Fax: (270) 527-3152
Website:
Map and Directions
Authorized official contact:
Name: Wiseman, James H
Phone: (270) 527-9374

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 00663 Kentucky
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 00663 Kentucky
Suppliers / Pharmacy 333600000X 00663 Kentucky

Profile Details

NPI number 1417067729
LBN Legal business name J W Pharmacy
DBA Doing business as J & R Pharmacy
Authorized official Wiseman, James H
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 11th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417067729 NPPES
Kentucky Other 1801100 NABP
Kentucky MEDICAID 54009600 NABP

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