NPIMap

Organization Active NPI

J & M Endeavors, Inc.

  • Community/Retail Pharmacy
  • Warner Robins, GA
National Provider Identifier
1972829364
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009651 Issued in GA
Legal business name
J & M ENDEAVORS, INC.
Practice address
4851 Russell Pkwy
Suite 100
Warner Robins, GA 31088-8696
Phone
(478) 333-6652
Fax
(478) 333-6752
NPI assigned
Apr 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Matthew KennedyNPI 1245851856
Title
Cfo
Phone
(478) 731-9656

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
Community/Retail Pharmacy 3336C0003X PHRE009651 GA Primary

Addresses

Primary practice location

4851 Russell Pkwy
Suite 100
Warner Robins, GA 31088-8696

Mailing address

4851 Russell Pkwy
Suite 100
Warner Robins, GA 31088-8696
Phone (478) 333-6652

Other identifiers 1

IdentifierTypeStateIssuer
278896668AMedicaidGA

Other names 1

  • J & M Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000332 GA Part B Supplier - Pharmacy 4183811722 Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

4851 Russell Pkwy
Ste 100
Warner Robins, GA 31088
Phone (478) 333-6652

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1972829364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 RUSSELL PKWY",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888696",
            "telephone_number": "478-333-6652",
            "fax_number": "478-333-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 RUSSELL PKWY",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888696",
            "telephone_number": "478-333-6652",
            "fax_number": "478-333-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & M ENDEAVORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-11",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-731-9656"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278896668A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & M Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J & M Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.