JL Burch,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008431 Issued in GA

Legal business name

JL BURCH,LLC

Doing business as

Medicap Pharmacy

Practice address

101 Merchants Square Dr
Cartersville, GA 30121-2258

Phone

(770) 386-7004

Fax

(770) 386-7523

NPI assigned

Dec 19, 2006

Last updated

Mar 7, 2023By 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. Jack Lee Burch, R.PH.

Title

Pharmacist

Phone

(770) 386-7004

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicap Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437213261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MERCHANTS SQUARE DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212258",
            "telephone_number": "770-386-7004",
            "fax_number": "770-386-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MERCHANTS SQUARE DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212258",
            "telephone_number": "770-386-7004",
            "fax_number": "770-386-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL BURCH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-386-7004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00878512A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1147582",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey D. Esslinger, MD, PC
• Meghan Elizabeth Jenkins, BCBA
• Johnnetta Tina Jennings
• Jerry Mark Wigley MD (Walk-In MD)
• Jason Ming Jian, M.D.
• John S. Thomas, M.D.
• Emmanuel Maduabuchim John, APRN/ PMHNP
• Johnson Audiology
• Johnson Audiology of Cartersville Inc
• Jennifer M Johnson

• Community/Retail Pharmacy in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.