JJ BEANS AT MOONEYS LLC


Address: 1107 N Roan St, Johnson City, TN 37601-3901
Phone: 4239267333

JJ BEANS AT MOONEYS LLC (NPI# 1386244085) 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) 1386244085
Entity Type Organization
Organization Name JJ BEANS AT MOONEYS LLC
Practice Address 1107 N Roan St
Johnson City
TN 37601-3901
Mailing Address 2106 E Andrew Johnson Hwy
Morristown
TN 37814-5412
Practice Telephone 4239267333
Mailing Telephone 4235860721
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
Authorized Official Name CHAD BARCLAY HUNTSMAN (OWNER)
Authorized Official Telephone 4235860721
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Mooneys Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477043768 Jj Beans At Mooneys LLC Pharmacy 1107 N Roan St, Johnson City, TN 37601-3901 2018-05-14

Office Location

Street Address 1107 N ROAN ST
City JOHNSON CITY
State TN
Zip Code 37601-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396736492 Howard Douglas Davis Pharmacist 1107 N Roan St, Johnson City, TN 37601-3901 2005-10-31
1770050825 Jacob Cox Pharmacist 1107 N Roan St, Johnson City, TN 37601-3901 2018-10-26
1477043768 Jj Beans At Mooneys LLC Pharmacy 1107 N Roan St, Johnson City, TN 37601-3901 2018-05-14
1588077432 Karilynn Dowling Pharmacist 1107 N Roan St, Johnson City, TN 37601-3901 2014-06-09
1598814162 Deborah W Stewart Pharmacist 1107 N Roan St, Johnson City, TN 37601-3901 2007-01-10
1982766903 Mooney's Pharmacy Pharmacy 1107 N Roan St, Johnson City, TN 37601-3901 2006-12-15
1275614133 Elaine A. Snyder Pharmacist 1107 N Roan St, Johnson City, TN 37601-3901 2006-10-18
1578545455 Thomas Rouse Mooney Pharmacist 1107 N Roan St, Johnson City, TN 37601-3901 2005-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396381992 Juan Carlos Simon Villegas Gomez Specialist/Technologist 1081 John Robert Bell Dr, Johnson City, TN 37601 2019-11-19
1629537279 Jaima Suzanne Price Hearing Instrument Specialist 106 E Watauga Avenue, Johnson City, TN 37601 2019-03-13
1275004467 Brittany Howell Speech-Language Pathologist 2114 E. Fairview Ave, Johnson City, TN 37601 2018-12-16
1194229948 Heather Chantel Lester Physical Therapist 2114 E. Fairview Avenue, Johnson City, TN 37601 2018-03-19
1477061869 Patrick Conway Reynolds Specialist/Technologist 1081 John Robert Bell Drive, Johnson City, TN 37601 2018-01-19
1790201135 Surgical Services of East Tennessee PC Surgery 300 East Main St., Suite 301, Johnson City, TN 37601 2017-08-17
1073065694 Davina Leah Reppond Home Health 1204 E Myrtle Ave, Johnsoncity, TN 37601 2016-10-31
1003365503 Wendi Y Minutolo Behavioral Analyst 403 Princeton Rd Ste 3, Johnson City, TN 37601 2016-09-25
1306208798 Rachel Anne Anderson Nurse Practitioner 1118 East Holston Avenue, Johnson City, TN 37601 2016-03-24
1932560976 Kaydee Louise Davidson Occupational Therapist 3209 Bristol Highway, Johnson City, TN 37601 2016-03-18
Find all providers in zip 37601

Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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
1770199432 Boones Creek Pharmacy, Inc. Pharmacy 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 2020-09-18
1043221625 Pns Inc Pharmacy 527 N State of Franklin Rd, Suite 1, Johnson City, TN 37604-8210 2006-08-10
1952477598 Nhc Healthcare-johnson City LLC Pharmacy 3209 Bristol Hwy, Johnson City, TN 37601-1515 2006-11-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164032546 Polaris Pharmacy Services of Tennessee, LLC Pharmacy 7005 Wesbelt Drive, Nashville, TN 32709 2020-07-31
1386261030 Jeffrey Allan Anderson Pharmacy 721 N Tennessee Ave, Etowah, TN 37331-1754 2020-06-29
1376171652 Boatwright Drug Co., Inc Pharmacy 7899 Leroy Boatwright St, Millington, TN 38053-2137 2020-03-31
1245868850 Seymour Pharmacy Inc. Pharmacy 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 2020-03-30
1700423654 Southland Ltc Pharmacy Pharmacy 482 Interstate Dr Ste L, Manchester, TN 37355-3485 2019-12-10
1104380930 Fannon Drug Co. Pharmacy 606 E. Emory Rd, Powell, TN 37849 2019-01-25
1538663281 Black Bear Pharmacy, Inc. Pharmacy 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 2018-03-19
1891231734 Rams Pharmacy LLC Pharmacy 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 2017-01-17
1982056529 Pharmblue Tennessee LLC Pharmacy 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 2016-07-07
1043685852 Rams Pharmacy LLC Pharmacy 412 Gallatin Pike N, Madison, TN 37115-3706 2015-12-04
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Competitor

Search similar providers

City JOHNSON CITY
Zip Code 37601

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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