Jay Shri Ganesh Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010596 Issued in MI

Legal business name

JAY SHRI GANESH INC

Practice address

42086 Garfield Rd
Clinton Township, MI 48038

Phone

(586) 554-2745

Fax

(586) 554-2746

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Minaxi Bidja

Title

Co-Owner

Phone

(586) 554-2745

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Garfield Drug Mart Doing business as

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1043629488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42086 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381643",
            "telephone_number": "586-554-2745",
            "fax_number": "586-554-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42086 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-554-2745",
            "fax_number": "586-554-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY SHRI GANESH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "BIDJA",
        "authorized_official_first_name": "MINAXI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "586-554-2745"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010596",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043629488",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garfield Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Jarjour
• Emily Jarrett, FNP-C
• William Eugene Jarvis, DPM
• MD Ifham Jawaid
• Lindsay Jaworski, LLPC
• Vera Jay, DPT
• Dorothy Gail Jazowski, LMSW
• Tiffany Jeffers
• Veronica Jenei, PMHNP-BC
• In Sik Jeon, M.D.

• Community/Retail Pharmacy in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.