J. H. Harvey, Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009098 Issued in GA

Legal business name

J. H. HARVEY, CO., LLC

Practice address

955 S 1St St
Jesup, GA 31545-0331

Phone

(912) 427-6239

Fax

(912) 427-6295

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Courtney Fairbanks

Title

Pharmacy Insurance Specialist

Phone

(207) 885-7454

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Harveys Supermarket Pharmacy #2365 Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1982776845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "MS3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454",
            "fax_number": "207-396-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450331",
            "telephone_number": "912-427-6239",
            "fax_number": "912-427-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. H. HARVEY, CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHARMACY INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "207-885-7454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019754197A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1155161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harveys Supermarket Pharmacy #2365",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Brooke Boatright Howard, APRN, FNP-C
• Mandy D. Brinson Hubbard, FNP
• Carolyn Huff
• Teresa Dianne Hutson, CRNA
• Internal Medicine of Southeast Georgia
• Kara B Jackson, PT, DPT
• Tamia Destiny Jackson, MSW
• Rebecca James, LPC, NCC
• Jeffrey L. Harris, MD, PC
• Oliver H Jenkins, MD

• Community/Retail Pharmacy in Jesup, GA
• Providers in Jesup, 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 Mar 11, 2011; 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.