Organization Active NPI

Westside-Jiffy Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Athens, AL
National Provider Identifier
1992327019
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WESTSIDE-JIFFY PHARMACY, INC
Practice address
1204 W Market St
Athens, AL 35611-4769
Phone
(256) 233-2307
Fax
(256) 233-2634
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Mr. Jeb Jones
Title
Pharmacist/ Manager
Phone
(256) 233-2307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1204 W Market St
Athens, AL 35611-4769

Mailing address

1204 W Market St
Athens, AL 35611-4769
Phone (256) 233-2307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200715003339 AL DME Supplier - Pharmacy 3173947702 Practice locations: Athens, AL

National Provider Directory

National Provider Directory
Tax ID family
Westside Jiffy Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1204 W Market St
Athens, AL 35611
Phone (256) 233-2307

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1992327019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356114769",
            "telephone_number": "256-233-2307",
            "fax_number": "256-233-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356114769",
            "telephone_number": "256-233-2307",
            "fax_number": "256-233-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE-JIFFY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEB",
        "authorized_official_title_or_position": "PHARMACIST/ MANAGER",
        "authorized_official_telephone_number": "256-233-2307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.