Active NPI
J H Harvey Co LLC
- Community/Retail Pharmacy
- Douglas, GA
National Provider Identifier
1013025485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- J H HARVEY CO LLC
- Practice address
- 901 Ward St W
Douglas, GA 31533-3517 - Phone
- (912) 393-3289
- Fax
- (912) 389-0946
- NPI assigned
- Aug 27, 2006
- 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 | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
901 Ward St W
Douglas, GA 31533-3517
Mailing address
PO Box 1000
Ms3000
Portland, ME 04104-5005
Phone (207) 885-7454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1146934 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 00856259A | Medicaid | GA |
Other names 1
- Harveys Supermarket Pharmacy #2373
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299801600000",
"number": "1013025485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "MS3000",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045005",
"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": "901 WARD ST W",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315333517",
"telephone_number": "912-393-3289",
"fax_number": "912-389-0946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J H HARVEY CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-27",
"last_updated": "2011-03-11",
"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": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1146934",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00856259A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harveys Supermarket Pharmacy #2373",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.