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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Mooneys Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477043768 | Jj Beans At Mooneys LLC | Pharmacy | 1107 N Roan St, Johnson City, TN 37601-3901 | 2018-05-14 |
Street Address |
1107 N ROAN ST |
City | JOHNSON CITY |
State | TN |
Zip Code | 37601-3901 |
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 |
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 Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 37601 |
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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.