Organization Active NPI

B&J Drug Inc

  • Community/Retail Pharmacy
  • Lovington, NM
National Provider Identifier
1720193428
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00001181 Issued in NM
Legal business name
B&J DRUG INC
Practice address
102 South First Street
Lovington, NM 88260-1325
Phone
(505) 396-2801
Fax
(505) 396-2802
NPI assigned
Aug 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce A Kennedy, R PH
Title
Owner
Phone
(505) 396-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH00001181 NM Primary

Addresses

Primary practice location

102 South First Street
Lovington, NM 88260-1325

Mailing address

PO Box 1325
Lovington, NM 88260-1325
Phone (505) 396-2801

Other identifiers 2

IdentifierTypeStateIssuer
3202855OtherNCPOP/NABP
55087MedicaidNM

Other names 1

  • B&J DRUG CO Former legal business name

National Provider Directory

National Provider Directory

Locations

102 S 1st St
Lovington, NM 88260
Phone (505) 396-2801

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720193428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882601325",
            "telephone_number": "505-396-2801",
            "fax_number": "505-396-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTH FIRST STREET",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882601325",
            "telephone_number": "505-396-2801",
            "fax_number": "505-396-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&J DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-396-2801",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00001181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPOP/NABP",
            "identifier": "3202855",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55087",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B&J DRUG CO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lovington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.