JTJ MEDICAL SUPPLY, INC. (NPI# 1497381511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497381511 |
Entity Type | Organization |
Organization Name | JTJ MEDICAL SUPPLY, INC. |
Practice Address |
4350 N 19th Ave Ste 2 Phoenix AZ 85015-4602 |
Mailing Address |
Po Box 62134 Fort Myers FL 33906-2134 |
Practice Telephone | 8009399226 |
Practice Fax Number | 8555230910 |
Mailing Telephone | 8009399226 |
Mailing Fax Number | 8555230910 |
Enumeration Date | 2020-03-20 |
Last Update Date | 2020-03-20 |
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 |
---|---|---|---|---|
1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
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 |
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 |
4350 N 19TH AVE STE 2 |
City | PHOENIX |
State | AZ |
Zip Code | 85015-4602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588653794 | Remis Mark Moore | Physician Assistant | 4350 N 19th Ave Ste 2, Phoenix, AZ 85015-4602 | 2005-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
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 |
---|---|---|---|---|
1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
1164981643 | North Valley Pharmacy LLC | Pharmacy | 34975 N North Valley Pkwy Bldg 5, Phoenix, AZ 85086-4028 | 2019-03-14 |
1821569633 | Healthrx Pharmacy, LLC. | Pharmacy | 727 E Bethany Home Rd Ste B110, Phoenix, AZ 85014-2151 | 2018-12-06 |
1821572405 | Tramanto Community Pharmacy | Pharmacy | 2633 W Carefree Hwy Ste 115, Phoenix, AZ 85085-8864 | 2018-09-19 |
1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
1053818096 | Nixona Rx, LLC | Pharmacy | 1614 E Mcdowell Rd, Phoenix, AZ 85006-3032 | 2018-04-06 |
1841795887 | Nimble Pharmacy Inc | Pharmacy | 3702 E Roeser Rd Ste 5, Phoenix, AZ 85040-9047 | 2018-03-29 |
1881107696 | Julie Faye House | Pharmacy | 2655 E Brown St, Phoenix, AZ 85028-4314 | 2017-11-15 |
1295248268 | German Dobson Cvs, L.L.C. | Pharmacy | 5450 W Happy Valley Rd, Phoenix, AZ 85083-2949 | 2017-11-13 |
1073069860 | Bgh Pharmacy | Pharmacy | 3544 W Glendale Ave Ste E, Phoenix, AZ 85051-8359 | 2016-08-31 |
Find all providers in PHOENIX |
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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.