S & J Medical Center Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25342 Issued in TX

Legal business name

S & J MEDICAL CENTER PHARMACY INC

Practice address

1101 W Eagle Dr
Suite C
Decatur, TX 76234-3721

Phone

(940) 627-5400

Fax

(940) 627-1598

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Jarrod Link

Title

President

Phone

(940) 458-5539

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MEDICAL CENTER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1487786091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-5400",
            "fax_number": "940-627-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-5400",
            "fax_number": "940-627-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & J MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-458-5539"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25342",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4543561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Joann Ross, M.A., LPC-S
• Robert Blaine Rozell, PA-C
• Martha Angelica Ruiz
• Russell Doubrava DO PA
• Ryan K. Walter, MD, PA
• S & L Medical Center Pharmacy Inc
• S & S Innovations, LLC
• S & S Innovations, LLC
• Sabra Services LLC
• Sage Alignment LLC

• Community/Retail Pharmacy in Decatur, TX
• Providers in Decatur, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.