J & M Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J & M PHARMACY LLC

Practice address

1587 Combs Rd., Suite 2
Hazard, KY 41701-8524

Phone

(606) 910-0555

Fax

(606) 910-0124

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Jerry Wayne Mullins, PHARMDNPI 1225337405

Title

Owner/Pharmacist

Phone

(606) 910-0555

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.

• Jerry Wayne Mullins, PHARMD.

  • Pharmacist
  • Hazard, KY
  • NPI 1225337405
  NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1164013603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "BULAN",
            "state": "KY",
            "postal_code": "41722",
            "telephone_number": "606-910-0555",
            "fax_number": "606-910-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 COMBS RD., SUITE 2",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417018524",
            "telephone_number": "606-910-0555",
            "fax_number": "606-910-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & M PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "606-910-0555",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMIT #",
            "identifier": "P08165",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infectious Disease Associates of Southeastern Kentucky PSC
• Jabed Iqbal, M.D.
• Benjamin Daniel Ische, D.C.
• Bobby Ison, LPCC
• Jessica Ivey, APRN
• Hossam Jabbour, M.D.
• Robert Jackson
• Luke Konnor Jacobs, PA-S
• Trevor Jacobs
• James M. Jolly, Jr., D.M.D, PSC

• Community/Retail Pharmacy in Hazard, KY
• Providers in Hazard, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.