NPIMap

Organization Active NPI

JT Bad Inc

  • Community/Retail Pharmacy
  • Lehighton, PA
National Provider Identifier
1497825574
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481190 Issued in PA
Legal business name
JT BAD INC
Practice address
281 N 12TH St
Ste C
Lehighton, PA 18235-1101
Phone
(610) 377-9070
Fax
(610) 377-9072
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Donna Odonnell
Title
Owner Phcst
Phone
(610) 377-9070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481190 PA Primary

Addresses

Primary practice location

281 N 12TH St
Ste C
Lehighton, PA 18235-1101

Mailing address

281 N 12TH St
Ste C
Lehighton, PA 18235-1101
Phone (610) 377-9070

Other identifiers 2

IdentifierTypeStateIssuer
001929423001MedicaidPA
3981227OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LEHIGHTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

281 N 12th St
Ste C
Lehighton, PA 18235
Phone (610) 377-9070

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1497825574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N 12TH ST",
            "address_2": "STE C",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351101",
            "telephone_number": "610-377-9070",
            "fax_number": "610-377-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N 12TH ST",
            "address_2": "STE C",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351101",
            "telephone_number": "610-377-9070",
            "fax_number": "610-377-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT BAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "610-377-9070"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001929423001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3981227",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEHIGHTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.