JTJ MEDICAL SUPPLY, INC. (NPI# 1215578901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215578901 |
Entity Type | Organization |
Organization Name | JTJ MEDICAL SUPPLY, INC. |
Practice Address |
1001 Monticello Ave Norfolk VA 23510-2564 |
Mailing Address |
2692 Oak Ridge Ct Fort Myers FL 33901-9351 |
Practice Telephone | 8009392022 |
Practice Fax Number | 8555230910 |
Mailing Telephone | 8009392022 |
Mailing Fax Number | 8555230910 |
Enumeration Date | 2019-10-03 |
Last Update Date | 2019-10-03 |
Authorized Official Name | MARK JOHN THEOBALD (CEO) |
Authorized Official Telephone | 2399399226 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Mail-Meds Clinical Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972983880 | Jtj Medical Supply, Inc. | Pharmacy | 1435 Dunn Ave Ste 102, Daytona Beach, FL 32114-1434 | 2015-06-05 |
1558369140 | Jtj Medical Supply, Inc. | Pharmacy | 2692 Oak Ridge Ct, Fort Myers, FL 33901-9351 | 2005-07-08 |
1497381511 | Jtj Medical Supply, Inc. | Pharmacy | 4350 N 19th Ave Ste 2, Phoenix, AZ 85015-4602 | 2020-03-20 |
1972141166 | Jtj Medical Supply, Inc. | Pharmacy | 1301 W Colonial Dr, Orlando, FL 32804-7133 | 2019-12-18 |
1134770753 | Jtj Medical Supply, Inc. | Pharmacy | 1911 Hampton St, Columbia, SC 29201-3535 | 2019-09-25 |
1427578731 | Jtj Medical Supply, Inc. | Pharmacy | 2200 S Monroe St, Tallahassee, FL 32301-6303 | 2017-06-27 |
Street Address |
1001 MONTICELLO AVE |
City | NORFOLK |
State | VA |
Zip Code | 23510-2564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144854928 | Virginia Ward | Pharmacist | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2020-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
Find all providers in zip 23510 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
1821233040 | Wal-mart Stores East Lp | Pharmacy | 1720 E Little Creek Rd, Norfolk, VA 23518-4202 | 2008-12-03 |
1073623609 | Costco Wholesale Corporation | Pharmacy | 850 Glenrock Rd, Norfolk, VA 23502 | 2006-08-30 |
1639184682 | Walgreen Co | Pharmacy | 810 W 21st St, Norfolk, VA 23517-1514 | 2006-07-29 |
1093720047 | Walgreen Co | Pharmacy | 8609 Tidewater Dr, Norfolk, VA 23503-5415 | 2006-07-29 |
1720093776 | Walgreen Co | Pharmacy | 1169 N Military Hwy, Norfolk, VA 23502-2434 | 2006-07-29 |
1912912965 | Walgreen Co | Pharmacy | 115 W Little Creek Rd, Norfolk, VA 23505-2512 | 2006-07-29 |
1568477511 | Walgreen Co | Pharmacy | 2232 E Little Creek Rd, Norfolk, VA 23518-4221 | 2006-07-29 |
1275557860 | Tidewater Diversified, Inc. | Pharmacy | 155 Kingsley Ln Ste 125, Norfolk, VA 23505-4629 | 2006-07-27 |
Find all providers in NORFOLK |
Please comment or provide details below to improve the information on JTJ MEDICAL SUPPLY, INC..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.