Organization Active NPI

J & M Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Ardmore, AL
National Provider Identifier
1821164401
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J & M PHARMACY INC
Practice address
30508 Ardmore Avenue
Ardmore, AL 35739-7443
Phone
(256) 423-2155
Fax
(256) 423-8999
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Mr. William E. Holt Jr., R PHARMACISTNPI 1316956550
Title
Owner/MGR
Phone
(256) 423-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

30508 Ardmore Avenue
Ardmore, AL 35739-7443

Mailing address

PO Box 429
Ardmore, TN 38449-0429
Phone (256) 423-2155

Other identifiers 4

IdentifierTypeStateIssuer
009905545MedicaidAL
51052971OtherALDME
3114962OtherTNMEDICARE SUPPLEMENT
4582027MedicaidTN

Other names 1

  • Jones Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930042302 AL DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 2961529789 Practice locations: Ardmore, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
J & M Pharmacy Inc30508 Ardmore Ave, Ardmore, AL 35739-7443(256) 423-2155 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (… Does not accept assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

30508 Ardmore Ave
Ardmore, AL 35739
Phone (256) 423-2155

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1821164401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384490429",
            "telephone_number": "256-423-2155",
            "fax_number": "256-423-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30508 ARDMORE AVENUE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397443",
            "telephone_number": "256-423-2155",
            "fax_number": "256-423-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & M PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "256-423-2155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009905545",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "51052971",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLEMENT",
            "identifier": "3114962",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582027",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.