Cammacks Pharmacies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00057963 Issued in WA

Legal business name

CAMMACKS PHARMACIES INC

Doing business as

Jims Pharmacy

Practice address

424 E 2ND St
Port Angeles, WA 98362-3119

Phone

(360) 452-4200

Fax

(360) 457-6557

NPI assigned

Jul 28, 2006

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Glen Cammack, RPHNPI 1932458940

Title

Owner

Phone

(360) 452-4200

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• JIMS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WA3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cammacks Pharmacies Inc

  dba Jims Pharmacy and Home Health

  • Community/Retail Pharmacy
  • Port Angeles, WA
  • NPI 1548205776

  2163312190

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cammacks Pharmacies Inc

  dba Jims Pharmacy and Home Health

  • Community/Retail Pharmacy
  • Port Angeles, WA
  • NPI 1548205776

  O20040316000187

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph G Cammack

  • Pharmacist
  • Port Angeles, WA
  • NPI 1932458940
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1427062256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E 2ND ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623119",
            "telephone_number": "360-452-4200",
            "fax_number": "360-457-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E 2ND ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623119",
            "telephone_number": "360-452-4200",
            "fax_number": "360-457-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMMACKS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "CAMMACK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-452-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "9030552",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9012352",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6148704",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9012345",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030552",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU PTAN",
            "identifier": "G8890408",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JIMS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John F Calf Looking, PA-C
• Maxwell Calloway
• Idalis Rae Calvert
• Joseph G Cammack
• Cammacks Pharmacies Inc (Cammacks Clinical Services)
• Cammacks Pharmacies Inc (Jims Pharmacy and Home Health)
• Cammacks Pharmacies Inc (Jim's Pharmacy)
• Leslie Ann Campbell, LMP
• Richard Ney Canaan, MD
• Canoga Medical Supply, Inc

• Community/Retail Pharmacy in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.