Organization Active NPI

JL Patterson Enterprises, Inc

  • Pharmacy
  • Ellenwood, GA
National Provider Identifier
1669051710
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
JL PATTERSON ENTERPRISES, INC
Practice address
3569 Riverview Club Dr
Ellenwood, GA 30294-4244
Phone
(404) 668-6618
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Dr. Joyce Patterson, PHARMD
Title
Ceo
Phone
(404) 668-6618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3569 Riverview Club Dr
Ellenwood, GA 30294-4244

Mailing address

3569 Riverview Club Dr
Ellenwood, GA 30294-4244
Phone (404) 668-6618

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Ellenwood Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1669051710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 RIVERVIEW CLUB DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944244",
            "telephone_number": "404-668-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIVERVIEW CLUB DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944244",
            "telephone_number": "404-668-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL PATTERSON ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-668-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ellenwood",
            "affiliation": "N",
            "endpointDescription": "drjoycepatterson@aol.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ellenwood",
            "address_1": "3569 Riverview Club Dr",
            "city": "Ellenwood",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302944244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.