JM Bailey Pharm

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005248 Issued in GA

Legal business name

JM BAILEY PHARM

Doing business as

Fulco Discount Drug

Practice address

301 Shirley Ave
Douglas, GA 31533-2333

Phone

(912) 384-7026

Fax

(912) 384-9954

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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

Jerrell Bailey

Title

President

Phone

(912) 384-7028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FULCO DISCOUNT DRUG Doing business as

Tax ID family

Fulco Discount Drug2 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.

• J M Bailey Pharmacy Inc

  dba Fulco Discount Drugs

  • Community/Retail Pharmacy
  • Douglas, GA
  • NPI 1700925500
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588700199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332333",
            "telephone_number": "912-384-7026",
            "fax_number": "912-384-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM BAILEY PHARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JERRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-384-7028"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1155351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULCO DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J M Bailey Pharmacy Inc (Fulco Discount Drugs)
• Patricia Arasely Jaimes
• Kirstyn Mahalia James, DC
• Deidree Nichole Jenkins, FNP
• JLD Speech Therapy, LLC
• John B Moffet DC PC
• Lajuanna Johnson
• Marci McQuaig Johnson, FNP-C
• Vernon Timothy Johnson, FNP
• Michelle Martinez Jones, FNP-C

• Community/Retail Pharmacy in Douglas, GA
• Providers in Douglas, 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 Aug 22, 2020; 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.