J.H. Harvey Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009031 Issued in GA

Legal business name

J.H. HARVEY CO., LLC

Practice address

341 Venture Dr
Brunswick, GA 31525-9723

Phone

(912) 264-2190

Fax

(912) 264-5564

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Harveys Supermarket Pharmacy #2312 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1033148705",
    "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": "341 VENTURE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315259723",
            "telephone_number": "912-264-2190",
            "fax_number": "912-264-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.H. HARVEY CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1154260",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636499135B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harveys Supermarket Pharmacy #2312",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Community Oncology Network
• Integrated Health and Beauty Medical Center, LLC
• Rebecca Anne Irwin, PA-C
• Island Medical, P.C.
• J Melvin Deese Jr, MD PC
• J.H. Harvey Co., LLC
• Seema Banu Jabbar
• Pauline Laggui Jacinto, M.D.
• Avanelle V Jack, MD
• Demetria Jackson, CCC-SLP

• Community/Retail Pharmacy in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Community/Retail Pharmacy in Georgia

• 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.

Verify at the official NPI Registry.