Active NPI
JP and F Inc
- Community/Retail Pharmacy
- China Grove, NC
National Provider Identifier
1396984522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10255
- Legal business name
- JP AND F INC
- Practice address
- 422 Highway 29 N
China Grove, NC 28023-0017 - Phone
- (704) 856-2579
- Fax
- (704) 855-5556
- NPI assigned
- Feb 11, 2009
- 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. Anthony C. Clodfelter, RPH
- Title
- Pharmacy Manager
- Phone
- (704) 856-2579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 10255 | NC | Primary |
Addresses
Primary practice location
422 Highway 29 N
China Grove, NC 28023-0017
Mailing address
422 Hwy 29 N
China Grove, NC 28023
Phone (704) 856-2579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3413642 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Price Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090908000637 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092860452 | Practice locations: China Grove, NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435708800000",
"number": "1396984522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 HWY 29 N",
"city": "CHINA GROVE",
"state": "NC",
"postal_code": "28023",
"telephone_number": "704-856-2579",
"fax_number": "704-855-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 HIGHWAY 29 N",
"city": "CHINA GROVE",
"state": "NC",
"postal_code": "280230017",
"telephone_number": "704-856-2579",
"fax_number": "704-855-5556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JP AND F INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-11",
"last_updated": "2015-07-01",
"status": "A",
"authorized_official_last_name": "CLODFELTER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "704-856-2579",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "10255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3413642",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Price Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in China Grove, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.