Provider Demographics
NPI:1669791737
Name:J'S PHARMACY LLC
Entity type:Organization
Organization Name:J'S PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:KUENZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-671-5270
Mailing Address - Street 1:207 WELDON STREET
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35186
Mailing Address - Country:US
Mailing Address - Phone:205-671-5270
Mailing Address - Fax:205-671-5272
Practice Address - Street 1:207 WELDON STREET
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:AL
Practice Address - Zip Code:35186
Practice Address - Country:US
Practice Address - Phone:205-671-5270
Practice Address - Fax:205-671-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1134243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL121783Medicaid
0136514OtherNCPDP PROVIDER IDENTIFICATION NUMBER