Organization Active NPI

SGJ & P Inc

Doing business as Johnny's Drugs

  • Community/Retail Pharmacy
  • Smithville, TN
National Provider Identifier
1174512750
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SGJ & P INC
Doing business as
Johnny's Drugs
Practice address
516-B West Main Street
Smithville, TN 37166-0299
Phone
(615) 597-7822
Fax
(615) 597-1112
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Sarah Fuson
Title
Owner Pharmacist
Phone
(615) 597-7822

Specialties & licenses 1

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

Addresses

Primary practice location

516-B West Main Street
Smithville, TN 37166-0299

Mailing address

P. O. Box 299
Smithville, TN 37166-1118
Phone (615) 597-7822

Other identifiers 4

IdentifierTypeStateIssuer
150553OtherTNBC/BS
4427313OtherTNNCPDP#
3563964OtherTNTN MEDICAL ASSISTANCE PRO
9449808MedicaidTN

Other names 1

  • Johnny's Drugs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johnny's Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

516 W Main St
Ste B
Smithville, TN 37166
Phone (615) 597-7822

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1174512750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 299",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661118",
            "telephone_number": "615-597-7822",
            "fax_number": "615-597-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516-B WEST MAIN STREET",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371660299",
            "telephone_number": "615-597-7822",
            "fax_number": "615-597-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGJ & P INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "FUSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "615-597-7822"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "150553",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "4427313",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN MEDICAL ASSISTANCE PRO",
            "identifier": "3563964",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449808",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnny's Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnny's Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.