Active NPI
M D J Inc
- Community/Retail Pharmacy
- Aurora, IN
National Provider Identifier
1376537902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- M D J INC
- Practice address
- 312 3Rd St
Aurora, IN 47001-1310 - Phone
- (812) 926-0552
- Fax
- (812) 926-0697
- NPI assigned
- Sep 9, 2005
- 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
- Mr. Charles Jay Beyer, RPH
- Title
- President
- Phone
- (812) 926-2884
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
312 3Rd St
Aurora, IN 47001-1310
Mailing address
PO Box 209
Aurora, IN 47001-0209
Phone (812) 926-0552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100294810A | Medicaid | IN |
Other names 1
- BEYER'S PHARMACY
National Provider Directory
National Provider DirectoryLocations
312 3rd St
Aurora, IN 47001
Phone (812) 926-0552
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Aurora, IN
- NPI 1174707459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259539200000",
"number": "1376537902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "AURORA",
"state": "IN",
"postal_code": "470010209",
"telephone_number": "812-926-0552",
"fax_number": "812-926-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 3RD ST",
"city": "AURORA",
"state": "IN",
"postal_code": "470011310",
"telephone_number": "812-926-0552",
"fax_number": "812-926-0697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M D J INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-09",
"last_updated": "2009-11-30",
"status": "A",
"authorized_official_last_name": "BEYER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-926-2884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100294810A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BEYER'S PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.