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Jolly's Drug Store LLC

NPI 1184162844ActiveOrganization· Pharmacy· Alamo, NV

Pharmacy in Alamo, Nevada, registered in NPPES in February 2017. The authorized official on file is Jonathan Heaton, Owner.

Overview

NPI1184162844
StatusActive
Entity typeOrganization
NPI issuedFeb 2, 2017
Last updated in NPPESFeb 2, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPH03674NV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years