Active NPI
J and J Pharmacy Inc
- Community/Retail Pharmacy
- Cleburne, TX
National Provider Identifier
1497809842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11285
- Legal business name
- J AND J PHARMACY INC
- Doing business as
- J and J Pharmacy Inc
- Practice address
- 310 N Ridgeway Dr
Cleburne, TX 76033-5102 - Phone
- (817) 645-9138
- Fax
- (817) 645-0241
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Earl Brandy, PHRM
- Title
- Owner
- Phone
- (817) 645-9138
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 11285 | TX | Primary |
Addresses
Primary practice location
310 N Ridgeway Dr
Cleburne, TX 76033-5102
Mailing address
310 N Ridgeway Dr
Cleburne, TX 76033-5102
Phone (817) 645-9138
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4515841 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 142815 | Medicaid | TX |
Other names 1
- J AND J PHARMACY INC
National Provider Directory
National Provider DirectoryLocations
310 N Ridgeway Dr
Cleburne, TX 76033
Phone (817) 645-2415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312243200000",
"number": "1497809842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N RIDGEWAY DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760335102",
"telephone_number": "817-645-9138",
"fax_number": "817-645-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N RIDGEWAY DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760335102",
"telephone_number": "817-645-9138",
"fax_number": "817-645-0241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J AND J PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2011-08-02",
"status": "A",
"authorized_official_last_name": "BRANDY",
"authorized_official_first_name": "EARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-645-9138",
"authorized_official_credential": "PHRM"
},
"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": "11285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4515841",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142815",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "J AND J PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.