NPIMap

Organization Active NPI

JTJ Medical Supply, Inc.

Doing business as Mail-Meds Clinical Pharmacy

  • Community/Retail Pharmacy
  • Daytona Beach, FL
National Provider Identifier
1972983880
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH29136 Issued in FL
Legal business name
JTJ MEDICAL SUPPLY, INC.
Doing business as
Mail-Meds Clinical Pharmacy
Practice address
1125 N Nova Rd
Daytona Beach, FL 32117-4108
Phone
(800) 939-2022
Fax
(855) 523-0910
NPI assigned
Jun 5, 2015
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Lisa Shiers
Title
Pharmacy Operations Officer
Phone
(239) 939-9226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH29136 FL Primary

Addresses

Primary practice location

1125 N Nova Rd
Daytona Beach, FL 32117-4108

Mailing address

PO Box 62134
Fort Myers, FL 33906-2134
Phone (800) 939-2022

Other identifiers 2

IdentifierTypeStateIssuer
101331800MedicaidFL
2152348OtherPK

Other names 1

  • Mail-Meds Clinical Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JTJ Medical Supply Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1125 N Nova Rd
Daytona Beach, FL 32117
Phone (386) 274-7651

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1972983880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62134",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339062134",
            "telephone_number": "800-939-2022",
            "fax_number": "855-523-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N NOVA RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174108",
            "telephone_number": "800-939-2022",
            "fax_number": "855-523-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTJ MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "SHIERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS OFFICER",
        "authorized_official_telephone_number": "239-939-9226"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101331800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mail-Meds Clinical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mail-Meds Clinical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.