Provider Demographics
NPI:1912796582
Name:BIG JIMS FAMILY PHARMACY, LLC
Entity type:Organization
Organization Name:BIG JIMS FAMILY PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:DYER
Authorized Official - Suffix:IV
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:618-707-1121
Mailing Address - Street 1:1318 N HIGHWAY 127
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:KY
Mailing Address - Zip Code:42602-7752
Mailing Address - Country:US
Mailing Address - Phone:618-707-1121
Mailing Address - Fax:
Practice Address - Street 1:1318 N HIGHWAY 127
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-7752
Practice Address - Country:US
Practice Address - Phone:618-707-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy