Organization Active NPI

JCL Management and Consulting LLC

Doing business as Tug valley pharmacy

  • Community/Retail Pharmacy
  • Williamson, WV
National Provider Identifier
1710332135
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552503 Issued in WV
Legal business name
JCL MANAGEMENT AND CONSULTING LLC
Doing business as
Tug valley pharmacy
Practice address
54 W 2ND Ave
Williamson, WV 25661-3506
Phone
(304) 235-8080
NPI assigned
May 4, 2016
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Joseph LeeNPI 1619330529
Title
Owner
Phone
(606) 316-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0552503 WV Primary

Addresses

Primary practice location

54 W 2ND Ave
Williamson, WV 25661-3506

Mailing address

109 Eastridge Dr
Winchester, KY 40391-7116
Phone (606) 316-4011

Other identifiers 1

IdentifierTypeStateIssuer
SP0552503OtherWVWV STATE LISENCE

Other names 1

  • Tug valley pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

54 W 2nd Ave
Williamson, WV 25661
Phone (304) 235-3784

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": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1710332135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EASTRIDGE DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917116",
            "telephone_number": "606-316-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 2ND AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613506",
            "telephone_number": "304-235-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL MANAGEMENT AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-316-4011"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV STATE LISENCE",
            "identifier": "SP0552503",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tug valley pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.