JTJ MEDICAL SUPPLY, INC. (NPI# 1972983880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972983880 |
| Entity Type | Organization |
| Organization Name | JTJ MEDICAL SUPPLY, INC. |
| Other Organization Name | MAIL-MEDS CLINICAL PHARMACY |
| Practice Address |
1435 Dunn Ave Ste 102 Daytona Beach FL 32114-1434 |
| Mailing Address |
Po Box 62134 Fort Myers FL 33906-2134 |
| Practice Telephone | 2399399226 |
| Practice Fax Number | 8555230910 |
| Mailing Telephone | 8009392022 |
| Mailing Fax Number | 8555230910 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | MARK JOHN 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 |
PH29136 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152348 | 01 | |
| FL | 101331800 | 05 |
| 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 |
| 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 |
1435 DUNN AVE STE 102 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1154621308 | Zms 1 LLC | Pharmacy | 948 Orange Ave, Daytona Beach, FL 32114-4668 | 2010-10-21 |
| 1043392830 | Holiday Cvs LLC | Pharmacy | 1891 Lpga Blvd, Daytona Beach, FL 32117-7108 | 2006-10-20 |
| 1760589253 | Holiday Cvs LLC | Pharmacy | 1350 Belville Rd, Daytona Beach, FL 32114 | 2006-09-19 |
| 1023023207 | Walgreen Co | Pharmacy | 2679 N Atlantic Ave, Daytona Beach, FL 32118-3205 | 2006-07-29 |
| 1487150009 | Rural Health Care, Inc. | Pharmacy | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 | 2018-04-03 |
| 1508066739 | Prescription Shoppes LLC | Pharmacy | 864 Orange Ave, Daytona Beach, FL 32114-4770 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.