Jefferson Drug Company, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

003050 Issued in GA

Legal business name

JEFFERSON DRUG COMPANY, INC.

Practice address

23 Lee St
Jefferson, GA 30549-1345

Phone

(706) 367-5221

Fax

(706) 367-4036

NPI assigned

Apr 14, 2006

Last updated

Aug 22, 2020By 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. John E Peebles, R.PH.

Title

President/Owner

Phone

(706) 367-5221

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Keith Edwin Chapman, RPH

  • Pharmacist
  • Jefferson, GA
  • NPI 1558326561
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457315640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "address_2": "23 LEE STREET",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305490463",
            "telephone_number": "706-367-5221",
            "fax_number": "706-367-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 LEE ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491345",
            "telephone_number": "706-367-5221",
            "fax_number": "706-367-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON DRUG COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "706-367-5221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "003050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002929895A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma A James, MS, OTR/L
• Jyotir Jani, M.D.
• Mary Grace Jaques, M.ED., CCC-SLP
• Jefferson City Schools
• Jefferson Counseling, LLC
• Jefferson Pain Clinic Inc
• Jefferson Pediatrics, Inc.
• Jefferson Psychiatric Services, LLC
• Erin Melissa Jones, OD
• Sierra Justice

• Pharmacist in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.