Organization Active NPI

Jabos Pharmacy Inc

  • Pharmacy
  • Newport, TN
National Provider Identifier
1932206158
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1118 Issued in TN
Legal business name
JABOS PHARMACY INC
Practice address
602 East Broadway
Newport, TN 37821
Phone
(423) 623-3088
Fax
(423) 623-0777
NPI assigned
Sep 20, 2006
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Mr. Donald Fred Francis, PHARMACISTNPI 1588761704
Title
President
Phone
(423) 623-3088

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
Pharmacy 333600000X 1118 TN Primary

Addresses

Primary practice location

602 East Broadway
Newport, TN 37821

Mailing address

602 East Broadway
Newport, TN 37821
Phone (423) 623-3088

Other identifiers 1

IdentifierTypeStateIssuer
4410635OtherNABP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930066111 TN DME Supplier - Pharmacy 7719008655 Practice locations: Newport, TN

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
Jabos Pharmacy Inc602 E Broadway, Newport, TN 37821-32464236233088120 Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

602 E Broadway
Newport, TN 37821
Phone (423) 623-3088

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1932206158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 EAST BROADWAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "37821",
            "telephone_number": "423-623-3088",
            "fax_number": "423-623-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 EAST BROADWAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "37821",
            "telephone_number": "423-623-3088",
            "fax_number": "423-623-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-623-3088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4410635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.