Organization Active NPI

J.H. Harvey Co., LLC

  • Community/Retail Pharmacy
  • Quitman, GA
National Provider Identifier
1629356167
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
J.H. HARVEY CO., LLC
Practice address
1207 W Screven St
Quitman, GA 31643-1817
Phone
(229) 605-0140
Fax
(229) 605-0160
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Courtney Fairbanks
Title
Pharmacy Insurance Specialist
Phone
(207) 885-7454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1207 W Screven St
Quitman, GA 31643-1817

Mailing address

PO Box 1000
Ms3000
Portland, ME 04104-5005
Phone (207) 885-7454

Other identifiers 2

IdentifierTypeStateIssuer
1161708OtherNCPDP PROVIDER NUMBER
003113782AMedicaidGA

Other names 1

  • Harveys Supermarket Pharmacy #2408 Doing business as

National Provider Directory

National Provider Directory

Locations

107 Prince St
Americus, GA 31709
Phone (229) 931-6312

12246 Columbia St
Ste F
Blakely, GA 39823
Phone (229) 723-5202

341 Venture Dr
Brunswick, GA 31525
Phone (912) 264-2190

284 Hyde Park Cmns
Brunswick, GA 31523
Phone (912) 267-4846

1011 E 16th Ave
Cordele, GA 31015
Phone (229) 273-7757

901 Ward St W
Douglas, GA 31533
Phone (912) 343-3289

1945 Veterans Blvd
Dublin, GA 31021
Phone (478) 272-8851

775 GA Highway 122 W
Hahira, GA 31632
Phone (229) 794-2989

1605 Shurling Dr
Macon, GA 31211
Phone (478) 745-0004

1209 1st Ave SE
Moultrie, GA 31768
Phone (229) 985-0101

1207 W Screven St
Quitman, GA 31643
Phone (229) 605-0140

1404 E Jackson St
Thomasville, GA 31792
Phone (229) 225-1402

2201 US Highway 41 N
Ste A
Tifton, GA 31794
Phone (229) 386-9252

4036 Bemiss Rd
Valdosta, GA 31605
Phone (229) 247-5373

Practitioners & affiliated clinicians

Practitioners 2

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1629356167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "MS3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454",
            "fax_number": "207-396-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W SCREVEN ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431817",
            "telephone_number": "229-605-0140",
            "fax_number": "229-605-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.H. HARVEY CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHARMACY INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "207-885-7454"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER NUMBER",
            "identifier": "1161708",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113782A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harveys Supermarket Pharmacy #2408",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quitman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.