Jefferson City Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2003010139 Issued in MO

Legal business name

JEFFERSON CITY APOTHECARY LLC

Practice address

1739 Elm CT Ste 108
Jefferson City, MO 65101-4303

Phone

(573) 634-8300

Fax

(573) 634-8399

NPI assigned

Sep 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Uldis Pironis

Title

RPH

Phone

(573) 634-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JEFFERSON CITY APOTHECARY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1023113248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 ELM CT STE 108",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303",
            "telephone_number": "573-634-8300",
            "fax_number": "573-634-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 ELM CT STE 108",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303",
            "telephone_number": "573-634-8300",
            "fax_number": "573-634-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CITY APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "PIRONIS",
        "authorized_official_first_name": "ULDIS",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "573-634-8300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2003010139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048898",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606058402",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON CITY APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JCMG Ancillary Services, LLC
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• JCMG Mental Health, L.L.C.
• JCMG Surgery Center, Inc.
• Theodule Jean Baptiste, MD
• Jefferson City Foot & Ankle Clinic, LLC
• Jefferson City Manor Inc
• Jefferson City Medical Group, P.C.
• Jefferson City Medical Group, P.C.
• Jefferson City Medical Group, P.C.

• Community/Retail Pharmacy in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.