Jabez Home Infusion Company

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

08132 Issued in NC

Legal business name

JABEZ HOME INFUSION COMPANY

Practice address

2495 Hemby LN
Suite B
Greenville, NC 27834-3733

Phone

(252) 758-9304

Fax

(252) 758-6904

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

James Thomas Cowart, RPH

Title

Pharmacy Manager/Co-Owner

Phone

(252) 758-9304

Specialties & licenses 3

Addresses

Other identifiers 4

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1265495410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HEMBY LN",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343733",
            "telephone_number": "252-758-9304",
            "fax_number": "252-758-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HEMBY LN",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343733",
            "telephone_number": "252-758-9304",
            "fax_number": "252-758-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ HOME INFUSION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACY MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "252-758-9304",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "08132",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "08132",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NC",
            "license": "08132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOME INFUSION#",
            "identifier": "046JW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800458",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745929",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703685",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elias Iwaszewski, DO
• J Gallimore MSW,LCSW,PLLC
• J-Jireh Outreach, Inc
• J. Frank James, MD PA
• Jabez Home Infusion Company
• Jabez Home Infusion Company
• Jackiestonellc
• Celeste T. Jackson, M.D.
• David George Jackson
• Denera Renae Jackson

• Home Infusion Therapy Pharmacy in Greenville, NC
• Providers in Greenville, NC by specialty
• Home Infusion Therapy Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.