Organization Active NPI

C Michael Jones MDPC

Doing business as Jones Professional BLDG Pharmacy

  • Clinic Pharmacy
  • Germantown, TN
National Provider Identifier
1902961113
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
0000003590 Issued in TN
Legal business name
C MICHAEL JONES MDPC
Doing business as
Jones Professional BLDG Pharmacy
Practice address
7710 Wolf River Cir
Germantown, TN 38138-1734
Phone
(901) 685-5969
Fax
(901) 665-6424
NPI assigned
Dec 27, 2006
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Ashley McClure, RPH
Title
Pharm MGR
Phone
(901) 685-5969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 0000003590 TN Primary

Addresses

Primary practice location

7710 Wolf River Cir
Germantown, TN 38138-1734

Mailing address

7710 Wolf River Cir
Germantown, TN 38138-1734
Phone (901) 685-5969

Other identifiers 2

IdentifierTypeStateIssuer
4434798OtherNCPDP PROVIDER IDENTIFICATION NUMBER
4434798AMedicaidTN

Other names 1

  • JONES PROFESSIONAL BLDG PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C Michael Jones MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1902961113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 WOLF RIVER CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381734",
            "telephone_number": "901-685-5969",
            "fax_number": "901-665-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 WOLF RIVER CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381734",
            "telephone_number": "901-685-5969",
            "fax_number": "901-665-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C MICHAEL JONES MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PHARM MGR",
        "authorized_official_telephone_number": "901-685-5969",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TN",
            "license": "0000003590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4434798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4434798A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JONES PROFESSIONAL BLDG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.