Active NPI
JJ Beans at P&S LLC
- Community/Retail Pharmacy
- Kingsport, TN
National Provider Identifier
1992326664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JJ BEANS AT P&S LLC
- Doing business as
- P&S Pharmacy
- Practice address
- 613 Watauga St
Kingsport, TN 37660-4429 - Phone
- (423) 246-8351
- Fax
- (423) 230-0832
- NPI assigned
- May 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad B Huntsman, PHARMD
- Title
- Managing Member
- Phone
- (423) 246-8351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
613 Watauga St
Kingsport, TN 37660-4429
Mailing address
613 Watauga St
Kingsport, TN 37660-4429
Phone (423) 246-8351
Other names 1
- P&S Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1992326664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 WATAUGA ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604429",
"telephone_number": "423-246-8351",
"fax_number": "423-230-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 WATAUGA ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604429",
"telephone_number": "423-246-8351",
"fax_number": "423-230-0832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JJ BEANS AT P&S LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-04",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "HUNTSMAN",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "423-246-8351",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "P&S Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "P&S Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.