Active NPI
J.H. Harvey Co., LLC
Doing business as Harveys Supemarket Pharmacy #2332
- Community/Retail Pharmacy
- Fitzgerald, GA
National Provider Identifier
1003849704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009037
- Legal business name
- J.H. HARVEY CO., LLC
- Doing business as
- Harveys Supemarket Pharmacy #2332
- Practice address
- 220 W Central Ave
Fitzgerald, GA 31750 - Phone
- (229) 423-0521
- Fax
- (229) 423-7147
- NPI assigned
- Jul 8, 2006
- Last updated
- Mar 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Fairbanks
- Title
- Pharmacy Insurance Specialist
- Phone
- (207) 885-7454
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE009037 | GA | |
| Community/Retail Pharmacy | 3336C0003X | PHRE009037 | GA | Primary |
Addresses
Primary practice location
220 W Central Ave
Fitzgerald, GA 31750
Mailing address
PO Box 1000
Ms 3000
Portland, ME 04104
Phone (207) 885-7454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006823270 | Medicaid | GA | |
| 1154462 | Other | GA | NCPDP |
Other names 1
- Harveys Supemarket Pharmacy #2332
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1003849704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "MS 3000",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04104",
"telephone_number": "207-885-7454",
"fax_number": "207-396-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W CENTRAL AVE",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "31750",
"telephone_number": "229-423-0521",
"fax_number": "229-423-7147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J.H. HARVEY CO., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "FAIRBANKS",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "PHARMACY INSURANCE SPECIALIST",
"authorized_official_telephone_number": "207-885-7454"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "PHRE009037",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006823270",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1154462",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harveys Supemarket Pharmacy #2332",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fitzgerald, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.