Mooney'S Pharmacy
LBN: Jj Beans At Mooneys Llc
Mooney'S Pharmacy is an health care organization with primary practice located at 1107 N Roan St , Johnson City TN 37601-3901. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jj Beans At Mooneys Llc can be contacted via phone (423) 926-7333, or through Huntsman, Chad B via phone (423) 312-3856.
Contact Information
Primary practice address
1107 N Roan St
Johnson City TN 37601-3901
Phone: (423) 926-7333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1663 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X | 1663 | Tennessee |
Profile Details
| NPI number | 1477043768 |
|---|---|
| LBN Legal business name | Jj Beans At Mooneys Llc |
| DBA Doing business as | Mooney'S Pharmacy |
| Authorized official | Huntsman, Chad B PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2018 |
| Last updated | Oct 28th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477043768 | NPPES |
| Tennessee | MEDICAID | Q037654 |
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