Active NPI
Jobes Pharmacy Inc
- Public Health or Welfare Agency
- Carrollton, OH
National Provider Identifier
1053496265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 02-0079750
- Legal business name
- JOBES PHARMACY INC
- Practice address
- 124 Canton Rd NW
Carrollton, OH 44615-1010 - Phone
- (330) 627-4176
- NPI assigned
- Oct 26, 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
- Mr. Gregory L Smith, RPH
- Title
- President
- Phone
- (330) 627-4176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 02-0079750 | OH | Primary |
Addresses
Primary practice location
124 Canton Rd NW
Carrollton, OH 44615-1010
Mailing address
124 Canton Rd NW
Carrollton, OH 44615-1010
Phone (330) 627-4176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119008 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
124 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-4176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345507200000",
"number": "1053496265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CANTON RD NW",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "446151010",
"telephone_number": "330-627-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CANTON RD NW",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "446151010",
"telephone_number": "330-627-4176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOBES PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2012-08-21",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-627-4176",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "OH",
"license": "02-0079750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119008",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.