Ernest Knight Drugs, Inc

Organization Active NPI Pharmacy · Jesup, GA

NPI 1689624082 · NPPES record last updated Mar 20, 2017

Key facts

NPI
1689624082
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
PHRE000255 (GA)
Legal business name
ERNEST KNIGHT DRUGS, INC
Practice address
149 N.W. Broad St.
Jesup, GA 31545
Phone
(912) 427-3726
Fax
(912) 427-8788
NPI assigned
May 10, 2006
Organization subpart
No

Authorized official

Name
Mr. Alan Millard Jones, R.PH. NPI 1558312017
Title
President
Phone
(912) 427-3726

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100901000454 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8820112568 Practice locations: Jesup, GA

National Provider Directory

Locations

106 E Cherry St
Jesup, GA 31546
Phone (912) 427-2254

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE000255 GA Yes

Addresses

Primary practice location

149 N.W. Broad St.
Jesup, GA 31545

Mailing address

149 N.W. Broad St.
Jesup, GA 31545
Phone (912) 427-3726

Other identifiers

IdentifierTypeStateIssuer
00030093BMedicaidGA

Other names

  • JONES DRUG COMPANY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 20, 2017.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1689624082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N.W. BROAD ST.",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "912-427-3726",
            "fax_number": "912-427-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N.W. BROAD ST.",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "912-427-3726",
            "fax_number": "912-427-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST KNIGHT DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MILLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-427-3726",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE000255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030093B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JONES DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jesup, GA

All providers in Jesup, GA · Pharmacy in Georgia

Sources for this page

Verify at the official NPI Registry.