Organization Active NPI

Ejje, Inc

  • Pharmacist
  • Hendersonville, NC
National Provider Identifier
1043230485
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4058 Issued in NC
Legal business name
EJJE, INC
Practice address
2315 Asheville Hwy
Suite 50
Hendersonville, NC 28791-1500
Phone
(828) 692-1022
Fax
(828) 698-1572
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Larry Jackson Shelton, RPHNPI 1720126394
Title
President
Phone
(828) 692-1022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 4058 NC Primary

Addresses

Primary practice location

2315 Asheville Hwy
Suite 50
Hendersonville, NC 28791-1500

Mailing address

2315 Asheville Hwy
Suite 50
Hendersonville, NC 28791-1500
Phone (828) 692-1022

Other identifiers 2

IdentifierTypeStateIssuer
3419391OtherNCPDP
0455386MedicaidNC

Other names 1

  • SHELTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1043230485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ASHEVILLE HWY",
            "address_2": "SUITE 50",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287911500",
            "telephone_number": "828-692-1022",
            "fax_number": "828-698-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 ASHEVILLE HWY",
            "address_2": "SUITE 50",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287911500",
            "telephone_number": "828-692-1022",
            "fax_number": "828-698-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJJE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-692-1022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "4058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3419391",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455386",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHELTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.