Provider Demographics
NPI:1477664688
Name:J & A PHARMACY INC OF PIEDMONT
Entity type:Organization
Organization Name:J & A PHARMACY INC OF PIEDMONT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:CAIN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-447-7779
Mailing Address - Street 1:102 JD SMITH DR
Mailing Address - Street 2:ALACO WAREHOUSE BUSINESS OFFICE
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-3350
Mailing Address - Country:US
Mailing Address - Phone:256-538-5697
Mailing Address - Fax:256-538-0239
Practice Address - Street 1:702 E HIGHWAY 278 BYP
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:AL
Practice Address - Zip Code:36272
Practice Address - Country:US
Practice Address - Phone:256-447-7779
Practice Address - Fax:256-447-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1010563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100001240Medicaid
AL0113059OtherNABP#
AL0986010001Medicare NSC