Active NPI
Baas & J Inc
Doing business as Treasure Pharmacy and Store
- Community/Retail Pharmacy
- Austell, GA
National Provider Identifier
1407117377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009857
- Legal business name
- BAAS & J INC
- Doing business as
- Treasure Pharmacy and Store
- Practice address
- 3753 Austell Rd Ste 130
Austell, GA 30106-6829 - Phone
- (770) 672-6913
- Fax
- (770) 693-8043
- NPI assigned
- Jun 6, 2012
- Last updated
- Oct 19, 2012
- 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
- Blessing Udeh
- Title
- Owner
- Phone
- (770) 672-6913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE009857 | GA | Primary |
Addresses
Primary practice location
3753 Austell Rd Ste 130
Austell, GA 30106-6829
Mailing address
PO Box 516
Dallas, GA 30132-0009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1162558 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 003127765A | Medicaid | GA |
Other names 1
- Treasure Pharmacy and Store
National Provider Directory
National Provider DirectoryLocations
3753 Austell Rd
Ste 130
Austell, GA 30106
Phone (770) 672-6913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350604800000",
"number": "1407117377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 516",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3753 AUSTELL RD STE 130",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066829",
"telephone_number": "770-672-6913",
"fax_number": "770-693-8043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAAS & J INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-06",
"last_updated": "2012-10-19",
"status": "A",
"authorized_official_last_name": "UDEH",
"authorized_official_first_name": "BLESSING",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-672-6913"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1162558",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003127765A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Treasure Pharmacy and Store",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.