TJT Pharmacy, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

TJT PHARMACY, INC

Doing business as

Berg Pharmacy

Practice address

1016 4TH St
Fulton, IL 61252-1716

Phone

(815) 589-2233

Fax

(815) 589-4789

NPI assigned

Sep 7, 2005

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry Tufty

Title

President

Phone

(815) 589-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Berg Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1871587642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 4TH ST",
            "city": "FULTON",
            "state": "IL",
            "postal_code": "612521716",
            "telephone_number": "815-589-2233",
            "fax_number": "815-589-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 4TH ST",
            "city": "FULTON",
            "state": "IL",
            "postal_code": "612521716",
            "telephone_number": "815-589-2233",
            "fax_number": "815-589-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJT PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "TUFTY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-589-2233"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "212195",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berg Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Fulton, IL
• Providers in Fulton, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.