Active NPI
SGJ & P Inc
- Durable Medical Equipment & Medical Supplies
- Smithville, TN
National Provider Identifier
1689655250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SGJ & P INC
- Practice address
- 516B W Main St
Smithville, TN 37166-1118 - Phone
- (615) 597-7822
- Fax
- (615) 597-1112
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Fuson
- Title
- Owner
- Phone
- (615) 597-7822
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
516B W Main St
Smithville, TN 37166-1118
Mailing address
PO Box 299
Smithville, TN 37166-0299
Phone (615) 597-7822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9449808 | Medicaid | TN | |
| 4427313 | Other | TN | NCPDP |
Other names 1
- JOHNNYS DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930091061 | TN | DME Supplier - Pharmacy | 5991826919 | Practice locations: Smithville, TN |
| O20150210001370 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 5991826919 | Practice locations: Smithville, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| SGJ & P Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Johnny'S Drugs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Smithville, TN
- NPI 1174512750
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Smithville, TN
- NPI 1770871741
-
- Pharmacist
- Smithville, TN
- NPI 1023007697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1689655250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371660299",
"telephone_number": "615-597-7822",
"fax_number": "615-597-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516B W MAIN ST",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371661118",
"telephone_number": "615-597-7822",
"fax_number": "615-597-1112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SGJ & P INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "FUSON",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-597-7822"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9449808",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4427313",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JOHNNYS DRUGS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JOHNNYS DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smithville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.