Jasper Drug Co Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE006155 Issued in GA

Legal business name

JASPER DRUG CO INC

Doing business as

Jasper Drug Store

Practice address

1 N Main St
Jasper, GA 30143-1500

Phone

(706) 692-6427

NPI assigned

Oct 30, 2017

Organization subpart

Yes

Parent organization

JASPER DRUG STOREAs reported in NPPES

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

Authorized official

Name

Lee J Dunn Jr.

Title

President

Phone

(706) 692-6427

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jasper Drug Store Doing business as

Part of

Jasper Drug Co Inc

Locations

Practitioners 1

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

• Haley Mullinax, PHARMD

  • Pharmacist
  • Jasper, GA
  • NPI 1023993573
  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1700398849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431500",
            "telephone_number": "706-692-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER DRUG CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASPER DRUG STORE",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-692-6427",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE006155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029873",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Interventional Spine and Pain Management Center, PC
• It'S Cool to Care
• Lisa M Jackowiak, PT
• Jasper Dental Associates, P.C.
• Jasper Drug Co Inc
• Jasper Eye Associates, LLC
• Jasper Neurological Associates, P.C.
• Jasper Physical Therapy, LLC
• Jasper Point of Journey LLC
• Jasper Surgery Center LLC

• Long Term Care Pharmacy in Jasper, GA
• Providers in Jasper, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.