Jay Pharmacy of Jay Florida Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH2540 Issued in FL

Legal business name

JAY PHARMACY OF JAY FLORIDA INC

Practice address

14088 Alabama St
Jay, FL 32565-1036

Phone

(850) 675-6666

Fax

(850) 675-4666

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Joey Hart, PHARMACY

Title

Pharmacy Manager

Phone

(850) 675-6666

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JAY PHARMACY Doing business as

Tax ID family

Jay Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jay Pharmacy of Jay,Fla Inc

  • Community/Retail Pharmacy
  • Jay, FL
  • NPI 1750416202
  NPD tax ID

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1467597799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325650367",
            "telephone_number": "850-675-6666",
            "fax_number": "850-675-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14088 ALABAMA ST",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651036",
            "telephone_number": "850-675-6666",
            "fax_number": "850-675-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY PHARMACY OF JAY FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "850-675-6666",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH2540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004944",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101481100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J S Michael Smith MD PA
• Jay Hospital, Inc.
• Jay Hospital, Inc.
• Jay Hospital, Inc.
• Jay Pediatrics PA
• Jay Pharmacy of Jay,Fla Inc
• Jeffery S Kelley MD
• Jimmie D Lassiter DMD LLC
• Alex Jones, PT, DPT, CSCS
• Edward Brian Jorgensen, D.O.

• All providers in Jay, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.