Organization Active NPI

JJ Beans at P&S LLC

  • Community/Retail Pharmacy
  • Kingsport, TN
National Provider Identifier
1992326664
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 18, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.