Active NPI
FPJ Inc
- Pharmacy
- Jackson, TN
National Provider Identifier
1780103242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 6060
- Legal business name
- FPJ INC
- Doing business as
- Bakers Family Pharmacy
- Practice address
- 200 W Main St
Jackson, TN 38301-6114 - Phone
- (731) 265-6555
- Fax
- (731) 265-6558
- NPI assigned
- Sep 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherry Middleton, PHARMD
- Title
- Owner
- Phone
- (731) 968-6979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 6060 | TN | Primary |
Addresses
Primary practice location
200 W Main St
Jackson, TN 38301-6114
Mailing address
6 Hospital Dr
Lexington, TN 38351-1422
Phone (731) 968-6979
Other names 1
- Bakers Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210407001410 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 2062829187 | Practice locations: Jackson, TN |
National Provider Directory
National Provider Directory- Tax ID family
- FPJ Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Jackson, TN
- NPI 1366061475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596326400000",
"number": "1780103242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HOSPITAL DR",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383511422",
"telephone_number": "731-968-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W MAIN ST",
"city": "JACKSON",
"state": "TN",
"postal_code": "383016114",
"telephone_number": "731-265-6555",
"fax_number": "731-265-6558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FPJ INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-15",
"last_updated": "2020-08-02",
"certification_date": "2020-08-02",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-968-6979",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TN",
"license": "6060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bakers Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.