J and J Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006809 Issued in GA

Legal business name

J AND J PROFESSIONAL PHARMACY INC

Practice address

4245 Hamilton Rd
Columbus, GA 31904-6637

Phone

(706) 327-2131

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Judson L Mullican

Title

Owner

Phone

(706) 327-2131

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1932247772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046637",
            "telephone_number": "706-327-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J AND J PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MULLICAN",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-327-2131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347014A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mal'Asia Ivey
• Andrea Ivory
• Lachandra Ivory
• Anthony Iwelunmor
• J & J Professional Pharmacy
• J N C Enterprises
• Jack H Blalock Jr, MD, PC
• Latorya Jackosn
• Cherona L Jackson-Quick
• Bonita Jackson

• Community/Retail Pharmacy in Columbus, GA
• Providers in Columbus, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.