J M Bailey Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005248 Issued in GA

Legal business name

J M BAILEY PHARMACY INC

Doing business as

Fulco Discount Drugs

Practice address

301 Shirley Ave
Douglas, GA 31533-2333

Phone

(912) 384-7026

Fax

(912) 384-9554

NPI assigned

Feb 6, 2007

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerrell Bailey

Title

Pres of Corp

Phone

(912) 384-7026

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FULCO DISCOUNT DRUGS Doing business as

Tax ID family

Fulco Discount Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JM Bailey Pharm

  dba Fulco Discount Drug

  • Community/Retail Pharmacy
  • Douglas, GA
  • NPI 1588700199
  NPD tax ID

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1700925500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332333",
            "telephone_number": "912-384-7026",
            "fax_number": "912-384-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332333",
            "telephone_number": "912-384-7026",
            "fax_number": "912-384-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M BAILEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JERRELL",
        "authorized_official_title_or_position": "PRES OF CORP",
        "authorized_official_telephone_number": "912-384-7026"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2014028",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000160531A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULCO DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• JM Bailey Pharm (Fulco Discount Drug)

• Community/Retail Pharmacy in Douglas, GA
• Providers in Douglas, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.