Provider Demographics
NPI:1912013673
Name:JONES, JAMIE D (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:103 HARRISON CT
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403-1781
Mailing Address - Country:US
Mailing Address - Phone:859-986-5637
Mailing Address - Fax:859-302-1583
Practice Address - Street 1:110 NEWCOMB AVE
Practice Address - Street 2:ROCKCASTLE PROFESSIONAL PHARMACY
Practice Address - City:MOUNT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456-2728
Practice Address - Country:US
Practice Address - Phone:606-256-4613
Practice Address - Fax:606-256-9120
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY09724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist