Provider Demographics
NPI:1356543292
Name:JAMES C JONES LLC
Entity type:Organization
Organization Name:JAMES C JONES LLC
Other - Org Name:<UNAVAIL>
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:334-382-6574
Mailing Address - Street 1:207 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-2205
Mailing Address - Country:US
Mailing Address - Phone:334-382-6574
Mailing Address - Fax:334-382-1944
Practice Address - Street 1:959 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-5653
Practice Address - Country:US
Practice Address - Phone:334-590-6086
Practice Address - Fax:334-590-6086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1124873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100039161Medicaid
AL0134457OtherNCPDP#
AL0134457OtherNCPDP#