BJL, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007105 Issued in GA

Legal business name

BJL, INC.

Doing business as

Hiawassee Discount Pharmacy

Practice address

226 N Main St
Hiawassee, GA 30546-2213

Phone

(706) 896-5555

Fax

(706) 896-5742

NPI assigned

Feb 12, 2007

Last updated

Jun 21, 2008By 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. Donnie Herbert Payne, RPH.

Title

Pharmacist in Charge

Phone

(706) 896-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hiawassee Discount Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1487796165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305462213",
            "telephone_number": "706-896-5555",
            "fax_number": "706-896-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305462213",
            "telephone_number": "706-896-5555",
            "fax_number": "706-896-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "706-896-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000409406A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hiawassee Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hiawassee, GA
• Providers in Hiawassee, 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 Jun 21, 2008; 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.