JTJ MEDICAL SUPPLY, INC.


Address: 4350 N 19th Ave Ste 2, Phoenix, AZ 85015-4602
Phone: 8009399226

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Mail-Meds Clinical Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4350 N 19TH AVE STE 2
City PHOENIX
State AZ
Zip Code 85015-4602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588653794 Remis Mark Moore Physician Assistant 4350 N 19th Ave Ste 2, Phoenix, AZ 85015-4602 2005-10-19

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85015

Improve Information

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Dataset Information

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.

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