J.H. Harvey Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J.H. HARVEY CO., LLC

Practice address

1605 Shurling Dr
Macon, GA 31211-2150

Phone

(478) 745-0004

Fax

(478) 746-0240

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Courtney Fairbanks

Title

Pharmacy Insurance Specialist

Phone

(207) 885-7454

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Harveys Supermarket Pharmacy #2405 Doing business as

Locations

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1134448558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "MS3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454",
            "fax_number": "207-396-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SHURLING DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312112150",
            "telephone_number": "478-745-0004",
            "fax_number": "478-746-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.H. HARVEY CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHARMACY INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "207-885-7454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1159880",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "868170848A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harveys Supermarket Pharmacy #2405",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Martin Ivey, LMSW
• Donna Purvis Ivey, PH.D.
• Norman Tyrus Ivey, DDS
• J Gregory Jones MD PC
• J.Bryan, Inc
• Jackson Lake Hospice Inc
• Aisha Jackson
• Billie Luke Jackson, M.D.
• Ellis R Jackson, CRNA
• Ida Desiree Jackson

• Community/Retail Pharmacy in Macon, GA
• Providers in Macon, 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 Jun 30, 2011; 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.