NPIMap

Organization Active NPI

JTJ Medical Supply, Inc.

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1366010076
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JTJ MEDICAL SUPPLY, INC.
Practice address
4244 N 19TH Ave
Phoenix, AZ 85015-5108
Phone
(800) 939-2022
Fax
(855) 523-0910
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Lisa Marie Shiers
Title
Secretary
Phone
(239) 317-3033

Specialties & licenses 1

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

Addresses

Primary practice location

4244 N 19TH Ave
Phoenix, AZ 85015-5108

Mailing address

PO Box 62134
Fort Myers, FL 33906-2134
Phone (800) 939-2022

Other names 1

  • Mail-Meds Clinical Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JTJ Medical Supply Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1366010076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62134",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339062134",
            "telephone_number": "800-939-2022",
            "fax_number": "855-523-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155108",
            "telephone_number": "800-939-2022",
            "fax_number": "855-523-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTJ MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "SHIERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "239-317-3033"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mail-Meds Clinical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mail-Meds Clinical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.