TJAK GROUP LLC (NPI# 1679116446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679116446 |
| Entity Type | Organization |
| Organization Name | TJAK GROUP LLC |
| Other Organization Name | BELL DRUG |
| Practice Address |
114 N Pine St Pineville KY 40977-1647 |
| Practice Telephone | 6063375050 |
| Mailing Telephone | 6063375050 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | JAMIE DEWAYNE PARTIN (OWNER) |
| Authorized Official Telephone | 6063375050 |
| 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 |
|---|---|
| Bell Drug | Doing Business As Name - Organization |
| Street Address |
114 N PINE ST |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104064302 | Pineville Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 114 N Pine St, Pineville, KY 40977-1647 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| 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 |
|---|---|---|---|---|
| 1366900276 | Pineville Pharmacy | Pharmacy | 311 S Polk St Ste 80, Pineville, NC 28134-8631 | 2019-03-10 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1174040604 | Walgreen Co | Pharmacy | 448 Appalachian Hwy, Pineville, WV 24874 | 2017-08-25 |
| 1164789301 | Csam Enterprises, LLC | Pharmacy | 2971 Highway 28 E, Pineville, LA 71360-5716 | 2012-04-12 |
| 1902177389 | Freds Stores of Tennessee Inc | Pharmacy | 4628 Highway 28 E, Pineville, LA 71360-7733 | 2012-01-18 |
| 1144236647 | Walgreen Co | Pharmacy | 3100 Highway 28 E, Pineville, LA 71360-5702 | 2006-08-01 |
| 1881609063 | Walgreen Co | Pharmacy | 3400 Military Hwy, Pineville, LA 71360-4230 | 2006-07-29 |
| 1982253613 | Bella Lasley LLC | Pharmacy | 308 S Pine St, Pineville, KY 40977-1735 | 2019-09-05 |
| 1043879885 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1174013676 | Pineville Medical Center, LLC | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| Find all providers in PINEVILLE | ||||
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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.