Active NPI
JMC Pharmacy, Inc.
Doing business as abc pharmacy
- Community/Retail Pharmacy
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 52548
- Legal business name
- JMC PHARMACY, INC.
- Doing business as
- abc pharmacy
- Practice address
- 3907 Chicago Ave Ste a
Riverside, CA 92507-5367 - Phone
- (909) 415-3131
- Fax
- (909) 415-3268
- NPI assigned
- Jul 29, 2015
- Last updated
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Chan, PHARMD
- Title
- Owner
- Phone
- (909) 285-1118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 52548 | CA | Primary |
Addresses
Primary practice location
3907 Chicago Ave Ste a
Riverside, CA 92507-5367
Mailing address
3907 Chicago Ave Ste a
Riverside, CA 92507-5367
Phone (909) 415-3131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58794 | Other | CA | BOARD OF PHARMACY |
| 1023493244 | Medicaid | CA |
Other names 1
- abc pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210216003004 | CA | Part B Supplier - Pharmacy | 2062827421 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Riverside, CA; Ontario, CA; Rancho Cucamonga, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba ABC Pharmacy
- Community/Retail Pharmacy
- Rancho Cucamonga, CA
- NPI 1245676618
O20210216003004
-
dba ABC Pharmacy
- Community/Retail Pharmacy
- Riverside, CA
- NPI 1265796106
O20210216003004
National Provider Directory
National Provider DirectoryLocations
2920 Inland Empire Blvd
Ste 112
Ontario, CA 91764
Phone (909) 291-3800
3907 Chicago Ave
Ste A
Riverside, CA 92507
Phone (909) 415-3131
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Rancho Cucamonga, CA
- NPI 1750923595
-
- Pharmacist
- Corona, CA
- NPI 1669980488
-
- Pharmacist
- Riverside, CA
- NPI 1104753557
-
- Pharmacist
- Ontario, CA
- NPI 1902393390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1023493244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 CHICAGO AVE STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075367",
"telephone_number": "909-415-3131",
"fax_number": "909-415-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3907 CHICAGO AVE STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075367",
"telephone_number": "909-415-3131",
"fax_number": "909-415-3268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JMC PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-29",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-285-1118",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "52548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "58794",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023493244",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "abc pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "abc pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.