Provider Demographics
NPI:1477501021
Name:JHM,INC.
Entity Type:Organization
Organization Name:JHM,INC.
Other - Org Name:THRIFT CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:229-336-7654
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:CAMILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31730-0394
Mailing Address - Country:US
Mailing Address - Phone:229-336-7654
Mailing Address - Fax:229-336-5615
Practice Address - Street 1:159 E BROAD ST
Practice Address - Street 2:
Practice Address - City:CAMILLA
Practice Address - State:GA
Practice Address - Zip Code:31730-1842
Practice Address - Country:US
Practice Address - Phone:229-336-7654
Practice Address - Fax:229-336-5615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0049233336C0002X, 3336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1107223OtherNABP-THRIFT CENTER PHARM
GAPHRE004923OtherLICENSE #