Organization Active NPI

J & J RX LLC

  • Community/Retail Pharmacy
  • Montezuma, GA
National Provider Identifier
1144844168
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
J & J RX LLC
Practice address
212 N Dooly St
Montezuma, GA 31063-1510
Phone
(478) 316-6004
Fax
(478) 316-6005
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Joshua Zane Greeson, PHARMDNPI 1679163570
Title
Owner
Phone
(912) 687-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

212 N Dooly St
Montezuma, GA 31063-1510

Mailing address

212 N Dooly St
Montezuma, GA 31063-1510
Phone (478) 316-6004

Other names 1

  • Montezuma Drug Company Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Montezuma Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210624000580 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0345641650 Practice locations: Montezuma, GA

National Provider Directory

National Provider Directory

Locations

212 N Dooly St
Montezuma, GA 31063
Phone (478) 316-6004

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1144844168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N DOOLY ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631510",
            "telephone_number": "478-316-6004",
            "fax_number": "478-316-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N DOOLY ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631510",
            "telephone_number": "478-316-6004",
            "fax_number": "478-316-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "GREESON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ZANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-687-2040",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Montezuma",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "212 N Dooly St",
            "city": "Montezuma",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310631510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Montezuma Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.