Organization Active NPI

M D J Inc

  • Community/Retail Pharmacy
  • Aurora, IN
National Provider Identifier
1376537902
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mr. Charles Jay Beyer, RPHNPI 1174707459
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100294810AMedicaidIN

Other names 1

  • BEYER'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.