Jamestown Family Pharmacy Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

JAMESTOWN FAMILY PHARMACY INC

Practice address

2905 Darrow Rd
Walkertown, NC 27051-9682

Phone

(336) 595-6979

Fax

(336) 595-7079

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Dale Keith Jr., RPH

Title

President

Phone

(336) 595-6979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1043601560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 DARROW RD",
            "address_2": "WALKERTOWN FAMILY PHARMACY",
            "city": "WALKERTOWN",
            "state": "NC",
            "postal_code": "27051",
            "telephone_number": "336-595-6979",
            "fax_number": "336-595-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 DARROW RD",
            "city": "WALKERTOWN",
            "state": "NC",
            "postal_code": "270519682",
            "telephone_number": "336-595-6979",
            "fax_number": "336-595-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-595-6979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forsyth Memorial Hospital, Inc
• William Brooks Fulp Jr., LMBT, MMP
• Jared Wyllys Harwood, PA-C
• David Randal Heath, DDS
• Kwone U Ingram, MD
• Chandler Keith, PHARMD
• Kindred Connections Counseling PLLC
• Kindred Connections Counseling PLLC
• Jessica Ann Klunk, PHARMD
• LJ Moore Incorporated

• Community Health Clinic/Center in Walkertown, NC
• Providers in Walkertown, NC by specialty
• Community Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.