Organization Active NPI

Ernest Knight Drugs, Inc

  • Pharmacy
  • Jesup, GA
National Provider Identifier
1003476128
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ERNEST KNIGHT DRUGS, INC
Practice address
149 NW Broad St
Jesup, GA 31545-1310
Phone
(912) 427-3726
NPI assigned
Jun 20, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Misty J Juarbe, RPHNPI 1831780238
Title
President/Pharmacist in Charge
Phone
(912) 427-3726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

149 NW Broad St
Jesup, GA 31545
Phone (912) 427-3726

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

NPPES NPI Registry

Primary practice location

149 NW Broad St
Jesup, GA 31545-1310

Mailing address

149 NW Broad St
Jesup, GA 31545-1310
Phone (912) 427-3726

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000030093AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2019.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1003476128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NW BROAD ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451310",
            "telephone_number": "912-427-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NW BROAD ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451310",
            "telephone_number": "912-427-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST KNIGHT DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "JUARBE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "912-427-3726",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030093A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.