JTJ MEDICAL SUPPLY INC (NPI# 1356713127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356713127 |
| Entity Type | Organization |
| Organization Name | JTJ MEDICAL SUPPLY INC |
| Other Organization Name | MAIL-MEDS CLINICAL PHARMACY |
| Practice Address |
3251 3rd Ave N St Petersburg FL 33713-8506 |
| Mailing Address |
Po Box 62134 Fort Myers FL 33906-2134 |
| Practice Telephone | 2399399226 |
| Practice Fax Number | 8555230910 |
| Mailing Telephone | 2399399226 |
| Mailing Fax Number | 8555230910 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | MARK THEOBALD (PRESIDENT/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 |
PH29833 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2154762 | 01 | |
| FL | 017404500 | 05 |
| Other Name | Type Code |
|---|---|
| Mail-Meds Clinical Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073978110 | Jtj Medical Supply Inc | Pharmacy | 1301 W Colonial Dr Ste 102, Orlando, FL 32804-7133 | 2015-12-16 |
| 1598380826 | Jtj Medical Supply Inc | Pharmacy | 18356 Nw 47th Ave, Miami Gardens, FL 33055-2934 | 2020-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | JTJ MEDICAL SUPPLY INC. | 200 South Orange Ave, Sarasota, Florida 34236 |
| Street Address |
3251 3RD AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134114796 | Brian W Elliott | Internal Medicine | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2005-09-20 |
| 1164040473 | George Hernandez | Clinic/Center | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2020-07-13 |
| 1851927891 | Allison Bean | Pharmacist | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2020-03-22 |
| 1740769751 | Aimee Metzner | Pharmacist | 3251 3rd Ave N, Ste 125, St Petersburg, FL 33713 | 2018-08-09 |
| 1154814747 | Jennie Gintoli | Social Worker | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2018-06-08 |
| 1528447661 | Symone-d'auri Jordan Taylor | Social Worker | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2015-05-21 |
| 1871925024 | Danielle D. Webb | Registered Nurse | 3251 3rd Ave N, Suite 125, St Petersburg, FL 33713-8506 | 2013-07-30 |
| 1376802520 | Carolyn Redmond | Social Worker | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2012-05-09 |
| 1386921914 | Mark A. Mann | Pharmacist | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2011-11-10 |
| 1821373457 | Robert Ferraro | Pharmacist | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| 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 |
|---|---|---|---|---|
| 1528610367 | Comprehensive Hematology Oncology LLC | Pharmacy | 5000 Park St N Ste 1025, St Petersburg, FL 33709-2236 | 2019-07-11 |
| 1902465917 | Prathna Inc | Pharmacy | 7601 Dr Martin Luther King Jr St N Ste C, St Petersburg, FL 33702-5200 | 2019-06-12 |
| 1043603665 | Baycare Urgent Care, LLC | Pharmacy | 2331 4th St N, St Petersburg, FL 33704-2801 | 2015-03-06 |
| 1265820807 | Pearl Shah LLC | Pharmacy | 6399 38th Ave N Ste A5, St Petersburg, FL 33710-1651 | 2015-01-06 |
| 1639415839 | Pharmalabs LLC | Pharmacy | 10901 Roosevelt Blvd N, St Petersburg, FL 33716-2305 | 2012-12-17 |
| 1962792531 | Bayfront Hma Medical Center Pharmacy | Pharmacy | 701 6th St. S., St Petersburg, FL 33701-4891 | 2011-04-15 |
| 1699095604 | Trillion Enterprises Inc | Pharmacy | 4130 5th Ave N, St Petersburg, FL 33713-6304 | 2010-06-02 |
| 1285872937 | Pharmland | Pharmacy | 3426 13th Ave N, St Petersburg, FL 33713-5424 | 2009-02-02 |
| 1871749671 | Lurd's Inc | Pharmacy | 401 1st Ave N, St Petersburg, FL 33701-3802 | 2008-08-12 |
| 1003933664 | Tri-med Usa, Inc | Pharmacy | 5779 49th St N, #2, St Petersburg, FL 33709-2107 | 2007-03-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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.