NPIMap

Organization Active NPI

TJD Enterprises, LLC

  • Community/Retail Pharmacy
  • Nashville, IL
National Provider Identifier
1194977504
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054008148 Issued in IL
Legal business name
TJD ENTERPRISES, LLC
Practice address
143 S Washington St
Nashville, IL 62263-1430
Phone
(618) 427-3214
Fax
(618) 327-9786
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mr. Charles A Doehring, RPH
Title
Owner
Phone
(618) 327-3214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054008148 IL Primary

Addresses

Primary practice location

143 S Washington St
Nashville, IL 62263-1430

Mailing address

143 S Washington St
Nashville, IL 62263-1430
Phone (618) 327-3214

National Provider Directory

National Provider Directory
Tax ID family
TJD Enterprises LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1194977504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631430",
            "telephone_number": "618-327-3214",
            "fax_number": "618-327-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631430",
            "telephone_number": "618-427-3214",
            "fax_number": "618-327-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJD ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "DOEHRING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-327-3214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054008148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.