Active NPI
J & J Professional Pharmacy
- Community/Retail Pharmacy
- Columbus, GA
National Provider Identifier
1396878385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE008276
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00347014B | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.