Jerry White'S Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007089 Issued in GA

Legal business name

JERRY WHITE'S PHARMACY, INC

Practice address

3741 Highway 17
Toccoa, GA 30577-8275

Phone

(706) 886-2662

Fax

(706) 886-2867

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. J Erry White, PAHRMACIST

Title

President

Phone

(706) 886-2662

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jennifer Forbes Jennings, PHARMD

  • Pharmacist
  • Toccoa, GA
  • NPI 1639462021
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114087541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 HIGHWAY 17",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305778275",
            "telephone_number": "706-886-2662",
            "fax_number": "706-886-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 HIGHWAY 17",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305778275",
            "telephone_number": "706-886-2662",
            "fax_number": "706-886-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY WHITE'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "J ERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-886-2662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAHRMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403686A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ivester, NP-C
• Megan Nicole Ivester
• Diane Cecelia Jauch, LCSW
• Jennifer Lynn Harper
• Jennifer Forbes Jennings, PHARMD
• Glen Johnson, MA
• Tracy L Jordan, R.PH
• JSB Health, LLC
• Richard A Kay, PA-C
• Kenneth G. Schneider, O.D.,P.C.

• Community/Retail Pharmacy in Toccoa, GA
• Providers in Toccoa, 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 Mar 7, 2023; 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.