J.H. Harvey Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J.H. HARVEY CO., LLC

Doing business as

Harveys Supermarket Pharmacy #2412

Practice address

1945 Veterans Blvd
Dublin, GA 31021-3001

Phone

(478) 272-8851

Fax

(478) 274-8878

NPI assigned

Oct 19, 2011

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 #2412 Doing business as

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1033494216",
    "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": "207-885-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213001",
            "telephone_number": "478-272-8851",
            "fax_number": "478-274-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.H. HARVEY CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2012-12-13",
        "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": "NCPDP PROVIDER NUMBER",
            "identifier": "1161809",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116745A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harveys Supermarket Pharmacy #2412",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irie'S Community Development Center, Inc
• Vickie Irvine, RN
• Martavis Isaac, LPC
• Frederica L Island, LPN
• Tina Baker Ivey, CRC
• Erica Lakisha Jackson, OTR/L
• Michelle W. Jackson, OTR/L
• Mickey Jackson
• Nieka Jackson, PHARMD
• Charlene James

• Community/Retail Pharmacy in Dublin, GA
• Providers in Dublin, 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 Dec 13, 2012; 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.