Healthcare Provider Details

I. General information

NPI: 1043102213
Provider Name (Legal Business Name): JANUS RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W ARLINGTON BLVD STE 300
GREENVILLE NC
27834-5736
US

IV. Provider business mailing address

3480 EASTERN BLVD
MONTGOMERY AL
36116-1700
US

V. Phone/Fax

Practice location:
  • Phone: 252-606-5080
  • Fax: 252-408-8711
Mailing address:
  • Phone: 334-819-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JANUARY MILLER
Title or Position: CHRO
Credential:
Phone: 334-819-4511