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JEN&JOSH INC NPI 1497766604


NPI Information

NPI: 1497766604
Provider Name: JEN&JOSH INC

Doing Business As: DIERKS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
323 MAIN ST
DIERKS, AR
ZIP 71833
Phone: (870) 286-3131
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JEN&JOSH INC is a community/retail pharmacy pharmacy in Dierks, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JEN&JOSH INC NPI is 1497766604. The provider is registered as an organization entity type.
The provider Is Doing Business As Dierks Pharmacy.

The provider's business location address is:

323 MAIN ST
DIERKS, AR
ZIP 71833-140
Phone: (870) 286-3131
Fax: (870) 286-2547

The provider's authorized official is Jennifer Jones .
The authorized official title is President and has the following contact phone number (870) 285-3309.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 10/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR16330ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1208506407MEDICAIDARKANSAS
22151012OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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