Organization
JR PHARMACY POPLAR LLC
Active
Organization
JR PHARMACY POPLAR LLC
Active
Other names
JR PHARMACY POPLAR LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY J WARREN (PRESIDENT)
(765) 828-1003
Entity
Organization
Contact information
Practice address
1101 POPLAR ST, TERRE HAUTE, IN 47807-4565
(812) 235-7373
(812) 478-0459
Mailing address
1238 S 3RD ST STE C, TERRE HAUTE, IN 47802-0018
(812) 234-8305
(812) 234-0225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60005675A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375570A
—
IN
01
—
2024532
PK
—
Enumeration date
09/12/2006
Last updated
01/22/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up