James Joseph Mracek

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6961 Issued in AL

Legal business name

JAMES JOSEPH MRACEK

Doing business as

Joe's Pharmacy

Practice address

809 Jackson Trace
Wetumpka, AL 36092

Phone

(334) 567-5315

Fax

(334) 514-0291

NPI assigned

Dec 14, 2006

Last updated

Jul 16, 2008By 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

Mr. James J Mracek, RPH

Title

Pharmacist Owner

Phone

(334) 567-5315

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Joe's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1902968100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360920766",
            "telephone_number": "334-567-5315",
            "fax_number": "334-514-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 JACKSON TRACE",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36092",
            "telephone_number": "334-567-5315",
            "fax_number": "334-514-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES JOSEPH MRACEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MRACEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "334-567-5315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "105635",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "6961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052660",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joe's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jackson Hospital and Clinic, Inc (Jackson Clinic Cardiology)
• Sabrina Jackson, OWNER
• Brenda A. James, M.ED, LPC
• Elizabeth Ann Jenkins, CRNP
• Camille Joly
• Alexia K Jones
• Bailey Jones

• Durable Medical Equipment & Medical Supplies in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.