J L & C ENTERPRISES INC (NPI# 1053337444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053337444 |
| Entity Type | Organization |
| Organization Name | J L & C ENTERPRISES INC |
| Other Organization Name | GOODWIN STREET PHARMACY |
| Practice Address |
406 W Goodwin St Prescott AZ 86303-3737 |
| Practice Telephone | 9284453550 |
| Mailing Telephone | 9284453550 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | JOHN PHILLIPS (PHARMACIST OWNER) |
| Authorized Official Telephone | 9284453550 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2295 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Goodwin Street Pharmacy | Doing Business As Name - Organization |
| Street Address |
406 W GOODWIN ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205802899 | Goodwin Street Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 406 W Goodwin St, Ste 1, Prescott, AZ 86303-3737 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1023128626 | Costco Wholesale Corporation | Pharmacy | 3911 Highway 69, Prescott, AZ 86301 | 2006-08-30 |
| 1972534089 | K Mart Corp | Pharmacy | 1048 Willow Creek Rd, Prescott, AZ 86301-1642 | 2006-07-06 |
| 1528064367 | Super D Drug Acquisition Co. | Pharmacy | 1430 W 1st St N, Prescott, AR 71857-3339 | 2005-06-27 |
| 1992875074 | Wpm Community Pharmacies LLC | Pharmacy | 1430 W 1st St N, Prescott, AR 71857-3339 | 2006-11-08 |
| 1639282999 | Yavapai Regional Medical Center | Pharmacy | 1003 Willow Creek Rd, Outpatient Pharmacy, Prescott, AZ 86301-1641 | 2006-08-17 |
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| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1649813320 | Hi-health-rx LLC | Pharmacy | 15207 N 75th St Ste 105, Scottsdale, AZ 85260-2445 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.