T & J Enterprises, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550702 Issued in WV

Legal business name

T & J ENTERPRISES, INC

Doing business as

Medicine Shoppe

Practice address

2402 Adams Ave
Huntington, WV 25704-1322

Phone

(304) 429-6716

Fax

(304) 429-1924

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Angela S Ronk, R.PH.

Title

Owner

Phone

(304) 429-6716

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Medicine Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Kellogg

  • Student in an Organized Health Care Education/Training Program
  • Huntington, WV
  • NPI 1669316089
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447236583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 ADAMS AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257041322",
            "telephone_number": "304-429-6716",
            "fax_number": "304-429-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 ADAMS AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257041322",
            "telephone_number": "304-429-6716",
            "fax_number": "304-429-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & J ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RONK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-429-6716",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550702",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WV",
            "license": "SP0550702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400846",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54020334",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142098000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPCP #",
            "identifier": "5006146",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Sue Sweet, MD
• Dejanae Swift
• Katrina Swope
• Sycamore Point Academy
• Mumtaz B Syed, MD
• Carrie Tabor
• Amanda Tackett
• Brock Tackett
• Chandos Dewayne Tackett, MD
• Elizabeth Tackett

• Community/Retail Pharmacy in Huntington, WV
• Providers in Huntington, WV by specialty
• Community/Retail Pharmacy in West Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.