NPIMap

Organization Active NPI

Jerkins Inc

  • Community/Retail Pharmacy
  • Opelika, AL
National Provider Identifier
1275867376
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
101890 Issued in AL
Legal business name
JERKINS INC
Doing business as
Bubba's Medicine Shop
Practice address
512 2ND Ave
Opelika, AL 36801-4316
Phone
(334) 749-3426
Fax
(334) 742-0757
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Mr. Jeffrey D Jerkins
Title
Ceo
Phone
(334) 749-3426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 101890 AL Primary

Addresses

Primary practice location

512 2ND Ave
Opelika, AL 36801-4316

Mailing address

2263 Potomac CT
Auburn, AL 36830-4261
Phone (334) 826-6194

Other names 1

  • Bubba's Medicine Shop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bubba'S Medicine Shop4 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.

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": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1275867376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 POTOMAC CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304261",
            "telephone_number": "334-826-6194",
            "fax_number": "334-742-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 2ND AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014316",
            "telephone_number": "334-749-3426",
            "fax_number": "334-742-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERKINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-749-3426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "101890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bubba's Medicine Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.