JBD Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07152 Issued in KY

Legal business name

JBD INC

Doing business as

Healthy Way Pharmacy Cedarknoll

Practice address

1410 Eagle Dr
Ashland, KY 41102-9623

Phone

(606) 928-1001

Fax

(606) 928-1008

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

John Dickerson, RPHNPI 1225171416

Title

Pres Owner Ao

Phone

(606) 738-9790

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HEALTHY WAY PHARMACY CEDARKNOLL Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• John Brett Dickerson

  • Pharmacist
  • Sandy Hook, KY
  • NPI 1225171416
  NPD Authorized official
• Ted Jacob Leibee, RRT

  • Registered Respiratory Therapist
  • Ashland, KY
  • NPI 1447953211
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1588723688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411710803",
            "telephone_number": "606-738-4041",
            "fax_number": "606-738-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 EAGLE DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029623",
            "telephone_number": "606-928-1001",
            "fax_number": "606-928-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRES OWNER AO",
        "authorized_official_telephone_number": "606-738-9790",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07152",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034632",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54012729",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHY WAY PHARMACY CEDARKNOLL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James S Powell, MD PSC
• Kelsey Gerard James, M.D.
• Micah Gabrielle Janey, LCSW
• Angela Jarvis
• Jonathan Jarvis
• Amy Jeffers, CPS
• Amy Jefferson
• Amanda Jenkins
• Gavin Jenkins, CRNA, APRN
• Jeffrey Thomas Jenkins, M.D.

• Community/Retail Pharmacy in Ashland, KY
• Providers in Ashland, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.