Provider Demographics
NPI:1891720314
Name:J D BROWN & CO INC
Entity Type:Organization
Organization Name:J D BROWN & CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:PRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:BS RPH
Authorized Official - Phone:815-723-0611
Mailing Address - Street 1:837 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-4660
Mailing Address - Country:US
Mailing Address - Phone:815-723-0611
Mailing Address - Fax:815-723-7865
Practice Address - Street 1:837 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-4660
Practice Address - Country:US
Practice Address - Phone:815-723-0611
Practice Address - Fax:815-723-7865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
IL332BP3500X, 332BX2000X
IL054006443333600000X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0009970414OtherBLUE CROSS PROVIDER NUMBE
IL1406330OtherNABP PHARMACY NUMBER
IL1406330OtherNABP PHARMACY NUMBER
IL0009970414OtherBLUE CROSS PROVIDER NUMBE
0206510001Medicare NSC