Organization Active NPI

Jtdean, LLC

  • Community/Retail Pharmacy
  • Sanger, TX
National Provider Identifier
1306408265
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JTDEAN, LLC
Practice address
801 W Chapman Dr # 10
Sanger, TX 76266-9035
Phone
(940) 458-4448
Fax
(940) 458-3008
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mrs. Tammy Janice Dean, RPHNPI 1871187963
Title
Owner/ Pic
Phone
(940) 458-4448

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

801 W Chapman Dr # 10
Sanger, TX 76266-9035

Mailing address

PO Box 667
Sanger, TX 76266-0667
Phone (940) 458-4448

Other names 1

  • S & J Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210225001692 TX Part B Supplier - Pharmacy 3870908866 Practice locations: Sanger, TX

National Provider Directory

National Provider Directory

Locations

801 W Chapman Dr
Ste 100
Sanger, TX 76266
Phone (940) 458-4448

801 W Chapman Dr
#S
Sanger, TX 76266
Phone (940) 458-4448

801 W Chapman Dr
Sanger, TX 76266

801 W Chapman Dr
#10
Sanger, TX 76266
Phone (940) 458-4448

Practitioners & affiliated clinicians

Practitioners 1

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": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1306408265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762660667",
            "telephone_number": "940-458-4448",
            "fax_number": "940-458-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W CHAPMAN DR # 10",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762669035",
            "telephone_number": "940-458-4448",
            "fax_number": "940-458-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTDEAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "940-458-4448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & J Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S & J Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanger, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.