Provider Demographics
NPI:1366066144
Name:JONES DRUGS LLC
Entity type:Organization
Organization Name:JONES DRUGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-264-1110
Mailing Address - Street 1:3482 CROSSWIND DR
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36869-3226
Mailing Address - Country:US
Mailing Address - Phone:334-500-4695
Mailing Address - Fax:334-352-3317
Practice Address - Street 1:3482 CROSSWINDS DR
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36869
Practice Address - Country:US
Practice Address - Phone:334-500-4695
Practice Address - Fax:334-352-3317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003124971AMedicaid
AL252122Medicaid