Organization Active NPI

Jays Pharmacy of Madison LLC

Doing business as Jay's Pharmacy of Madison

  • Community/Retail Pharmacy
  • Madison, FL
National Provider Identifier
1194231928
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JAYS PHARMACY OF MADISON LLC
Doing business as
Jay's Pharmacy of Madison
Practice address
683 E Base Street
Madison
Madison, FL 32340
Phone
(850) 253-2599
Fax
(850) 253-2627
NPI assigned
Dec 15, 2017
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Emily Rose BattilloNPI 1497026744
Title
Owner
Phone
(850) 253-2599

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 NU Primary

Addresses

Primary practice location

683 E Base Street
Madison
Madison, FL 32340

Mailing address

683 E Base St
Madison, FL 32340-2705
Phone (850) 253-2599

Other identifiers 2

IdentifierTypeStateIssuer
2175129OtherPK
024472700MedicaidFL

Other names 1

  • Jay's Pharmacy of Madison Doing business as

National Provider Directory

National Provider Directory

Locations

683 E Base St
Madison, FL 32340
Phone (850) 253-2599

828 S Jefferson St
Perry, FL 32347
Phone (850) 584-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1194231928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 E BASE ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402705",
            "telephone_number": "850-253-2599",
            "fax_number": "850-253-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 E BASE STREET",
            "address_2": "MADISON",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "32340",
            "telephone_number": "850-253-2599",
            "fax_number": "850-253-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYS PHARMACY OF MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "BATTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-253-2599"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024472700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay's Pharmacy of Madison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jay's Pharmacy of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.