Organization Active NPI

CBJ Pharmacy Inc

  • Community/Retail Pharmacy
  • Memphis, TN
National Provider Identifier
1902856883
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
000000029 Issued in TN
Legal business name
CBJ PHARMACY INC
Practice address
6005 Park Ave
Memphis, TN 38119-5202
Phone
(901) 765-1330
Fax
(901) 765-1344
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Michael Levin
Title
President
Phone
(610) 639-0130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 000000029 TN Primary

Addresses

Primary practice location

6005 Park Ave
Memphis, TN 38119-5202

Mailing address

210 Daisy LN
Wynnewood, PA 19096-1654
Phone (610) 639-0130

Other identifiers 1

IdentifierTypeStateIssuer
4413061OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • St Francis Homecare Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1902856883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 DAISY LN",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961654",
            "telephone_number": "610-639-0130",
            "fax_number": "610-639-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-765-1330",
            "fax_number": "901-765-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBJ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-639-0130"
    },
    "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": "000000029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4413061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Homecare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.