JJ Beans LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

706 Issued in TN

Legal business name

JJ BEANS LLC

Practice address

2106 E Andrew Johnson Hwy
Morristown, TN 37814-5412

Phone

(423) 586-0721

Fax

(423) 587-5419

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Chad Barclay Huntsman, PHARMD

Title

Managing Member

Phone

(423) 586-0721

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• College Park Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN3 enrollments

Enrollment records 3

Tax ID family

College Park Pharmacy2 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.

• JJ Beans LLC

  • Long Term Care Pharmacy
  • Morristown, TN
  • NPI 1083214795
  NPD tax ID

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1720121643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145412",
            "telephone_number": "423-586-0721",
            "fax_number": "423-587-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145412",
            "telephone_number": "423-586-0721",
            "fax_number": "423-587-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ BEANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "BARCLAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "423-586-0721",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "706",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045972",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "College Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jenkins, APN
• Randall Stetson Jenkins, DDS
• Taryn Jinnette, DO
• JJ Beans at Howards LLC
• JJ Beans LLC
• Bradley S Johnson, DMD
• David A Johnson, MD
• Kevin Brandt Johnson, DO
• Linda Arlene Johnson, CPED/CFO
• Ashton Lee Johnston

• Community/Retail Pharmacy in Morristown, TN
• Providers in Morristown, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.