Organization Active NPI

J & J Professional Pharmacy

  • Community/Retail Pharmacy
  • Columbus, GA
National Provider Identifier
1396878385
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008276 Issued in GA
Legal business name
J & J PROFESSIONAL PHARMACY
Practice address
4245 Hamilton Rd
Columbus, GA 31904-6637
Phone
(706) 327-2131
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Jim Dryman
Title
Pharmacist
Phone
(706) 320-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE008276 GA Primary

Addresses

Primary practice location

4245 Hamilton Rd
Columbus, GA 31904-6637

Mailing address

4245 Hamilton Rd
Columbus, GA 31904-6637
Phone (706) 327-2131

Other identifiers 1

IdentifierTypeStateIssuer
00347014BMedicaidGA

National Provider Directory

National Provider Directory

Locations

4245 Hamilton Rd
Columbus, GA 31904
Phone (704) 324-5105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1396878385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046637",
            "telephone_number": "706-327-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046637",
            "telephone_number": "706-327-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "DRYMAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "706-320-9933"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347014B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.