Active NPI
Mimbs Drug Co.
Doing business as J & J Pharmacy
- Pharmacy
- Gainesville, GA
National Provider Identifier
1992782536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHRE007894
- Legal business name
- MIMBS DRUG CO.
- Doing business as
- J & J Pharmacy
- Practice address
- 2500 Limestone Pkwy
Gainesville, GA 30501-2089 - Phone
- (770) 536-1897
- Fax
- (770) 535-1470
- NPI assigned
- Dec 26, 2005
- Last updated
- Mar 7, 2023
- 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
- Mr. Eddie H Mimbs, RPH
- Title
- President
- Phone
- (770) 536-1987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHRE007894 | GA | Primary |
Addresses
Primary practice location
2500 Limestone Pkwy
Gainesville, GA 30501-2089
Mailing address
2500 Limestone Pkwy
Gainesville, GA 30501-2089
Phone (770) 536-1897
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHRE007894 | Other | GA | STATE LISC NO |
| 1153458 | Other | GA | NCPDP |
Other names 1
- J & J Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Dixie City Pharmacy 1
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dixie City Pharmacy # 2
- Pharmacy
- Oakwood, GA
- NPI 1467439760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1992782536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 LIMESTONE PKWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012089",
"telephone_number": "770-536-1897",
"fax_number": "770-535-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 LIMESTONE PKWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012089",
"telephone_number": "770-536-1897",
"fax_number": "770-535-1470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIMBS DRUG CO.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-26",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MIMBS",
"authorized_official_first_name": "EDDIE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-536-1987",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "PHRE007894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NO",
"identifier": "PHRE007894",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1153458",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "J & J Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.