Organization Active NPI

Baas & J Inc

Doing business as Treasure Pharmacy and Store

  • Community/Retail Pharmacy
  • Austell, GA
National Provider Identifier
1407117377
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009857 Issued in GA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1162558OtherNCPDP PROVIDER IDENTIFICATION NUMBER
003127765AMedicaidGA

Other names 1

  • Treasure Pharmacy and Store Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.