Active NPI
Jtdean, LLC
- Community/Retail Pharmacy
- Sanger, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tammy Janice Dean, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210225001692 | TX | Part B Supplier - Pharmacy | 3870908866 | Practice locations: Sanger, TX |
National Provider Directory
National Provider DirectoryLocations
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.