Organization Active NPI

Jobes Pharmacy Inc

  • Public Health or Welfare Agency
  • Carrollton, OH
National Provider Identifier
1053496265
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
02-0079750 Issued in OH
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

Updated by the provider on Aug 21, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0119008MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.