JEBS INC (NPI# 1255314258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255314258 |
| Entity Type | Organization |
| Organization Name | JEBS INC |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
4375 Brambleton Ave Roanoke VA 24018-3404 |
| Practice Telephone | 5407720605 |
| Practice Fax Number | 5407720601 |
| Mailing Telephone | 5407720605 |
| Mailing Fax Number | 5407720601 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | WALTER STEVEN NUCKOLS (OWNER PHARMACIST) |
| Authorized Official Telephone | 5407720605 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201003350 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA # | BM5083023 | 01 |
| VA | NCPDP # | 4829909 | 01 |
| VA | 8508399 | 05 |
| Other Name | Type Code |
|---|---|
| Medicap Pharmacy | Doing Business As Name - Organization |
| Street Address |
4375 BRAMBLETON AVE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023484078 | Amanda Wilkerson | Pharmacist | 4375 Brambleton Ave, Roanoke, VA 24018-3404 | 2015-08-13 |
| 1063896991 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 4375 Brambleton Ave, Roanoke, VA 24018-3404 | 2015-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| 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 |
|---|---|---|---|---|
| 1770910655 | Shawsville Pharmacy Inc | Pharmacy | 300 1st St Sw, Roanoke, VA 24011-1901 | 2013-10-08 |
| 1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
| 1265535991 | Virginia Cvs Pharmacy LLC | Pharmacy | 1916 Orange Ave Nw, Roanoke, VA 24017-4040 | 2006-09-07 |
| 1336242064 | Virginia Cvs Pharmacy LLC | Pharmacy | 4400 Brambleton Ave, Roanoke, VA 24018-3427 | 2006-09-07 |
| 1073616710 | Virginia Cvs Pharmacy LLC | Pharmacy | 4126 Plantation Rd Ne, Roanoke, VA 24012-3136 | 2006-09-07 |
| 1184731192 | Emerging Home Care, Inc. | Pharmacy | 3868 Highway 431, Roanoke, AL 36274-2640 | 2006-08-24 |
| 1376659458 | West Pharmacy, LLC | Pharmacy | 2012 Electric Rd, Roanoke, VA 24018-1938 | 2006-08-22 |
| 1740202423 | Virginia Cvs Pharmacy LLC | Pharmacy | 4737 Valley View Blvd Nw, Roanoke, VA 24012-2000 | 2006-07-24 |
| 1558308015 | Rls Supermarkets LLC | Pharmacy | 1108 N Highway 377, Roanoke, TX 76262-9121 | 2006-06-01 |
| 1699029884 | Kuumba Comm Health & Wellness Center, Inc | Pharmacy | 3716 Melrose Ave Nw, Suite 130, Roanoke, VA 24017-2716 | 2012-11-09 |
| Find all providers in ROANOKE | ||||
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| 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.