JTJ MEDICAL SUPPLY, INC. (NPI# 1972141166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972141166 |
| Entity Type | Organization |
| Organization Name | JTJ MEDICAL SUPPLY, INC. |
| Practice Address |
1301 W Colonial Dr Orlando FL 32804-7133 |
| Mailing Address |
2692 Oak Ridge Ct Fort Myers FL 33901-9351 |
| Practice Telephone | 8009392022 |
| Practice Fax Number | 8555230910 |
| Mailing Telephone | 8009392022 |
| Mailing Fax Number | 8555230910 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | MARK JOHN THEOBALD (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 |
Suppliers |
| 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 |
| 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 |
| 1497381511 | Jtj Medical Supply, Inc. | Pharmacy | 4350 N 19th Ave Ste 2, Phoenix, AZ 85015-4602 | 2020-03-20 |
| 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 |
1301 W COLONIAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-7133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972797348 | Wanda Ivelisse Smith | Family Medicine | 1301 W Colonial Dr, Orlando, FL 32804-7133 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| 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 |
|---|---|---|---|---|
| 1902423015 | Aids Healthcare Foundation | Pharmacy | 1349 N. Mills Ave, Orlando, FL 32803-2542 | 2020-07-06 |
| 1821614983 | Wholescripts Pharmacy, LLC | Pharmacy | 6800 Kingspointe Pkwy Ste 100, Orlando, FL 32819-8592 | 2020-06-24 |
| 1508324963 | First Responders Pharmacy LLC | Pharmacy | 3333 Curry Ford Rd Ste B, Orlando, FL 32806-3472 | 2019-03-05 |
| 1023574407 | Orlando Health Inc. | Pharmacy | 1215 Atlanta Ave, Orlando, FL 32806-3985 | 2019-02-11 |
| 1447725163 | Radiance Health Rx LLC | Pharmacy | 723 Virginia Dr, Orlando, FL 32803-2527 | 2018-10-09 |
| 1336620954 | Avita Drugs Florida, LLC | Pharmacy | 801 N Magnolia Ave Ste 406, Orlando, FL 32803-3843 | 2018-08-22 |
| 1942719398 | Mkst Management, LLC Rxway Pharmacy | Pharmacy | 448 South Alafaya Trail, Suite 2, Orlando, FL 32828-8998 | 2017-09-28 |
| 1306367206 | Market Pharmacy | Pharmacy | 222 Neighborhood Market Rd Ste 105, Orlando, FL 32825-3525 | 2017-06-29 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1689129173 | Plaza Pharmacy,llc | Pharmacy | 3094 Curry Ford Rd, Orlando, FL 32806-3376 | 2016-08-24 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on JTJ MEDICAL SUPPLY, INC..
| 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.