Provider Demographics
NPI:1285644252
Name:JAMES C JONES LLC
Entity Type:Organization
Organization Name:JAMES C JONES LLC
Other - Org Name:JONES DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
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:334-358-1630
Mailing Address - Street 1:959 E MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-5618
Mailing Address - Country:US
Mailing Address - Phone:334-358-1630
Mailing Address - Fax:334-358-1631
Practice Address - Street 1:959 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-5618
Practice Address - Country:US
Practice Address - Phone:334-358-1630
Practice Address - Fax:334-358-1631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL108163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009941263Medicaid
AL0126575OtherNCPDP #
AL100002792Medicaid
AL100002792Medicaid
ALBT4725050OtherDEA #