Jwa Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

JWA SERVICES INC

Practice address

92 Boston Post Rd
Waterford, CT 06385-2421

Phone

(860) 865-1303

Fax

(860) 437-7323

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Dawen Wu, PHARMDNPI 1376833145

Title

President

Phone

(860) 865-1303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Simply Pharmacy Long-Term Care Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Wu, PHARM.D.

  • Pharmacist
  • Waterford, CT
  • NPI 1376833145
  NPD Authorized official
• Hansik Kim, PHARM.D BCPS BCCCP

  • Critical Care Pharmacist
  • New Haven, CT
  • NPI 1962961904
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1043969629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852421",
            "telephone_number": "860-865-1303",
            "fax_number": "860-437-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852421",
            "telephone_number": "860-865-1303",
            "fax_number": "860-437-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DAWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-865-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008059999",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplyPharmacyLTC@gmail.com",
            "affiliation": "Y",
            "affiliationName": "JWA Services Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "92 Boston Post Rd",
            "city": "Waterford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063852421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Simply Pharmacy Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vijay Jayaraman, M.D
• Joshua S. John, DMD
• Paul E. Johnson, M.D.
• Jennifer Michelle Jordan, D.C.
• Jr Drew & Ep Raccio, D.M.D.
• Jwa Services Inc
• Kab Counseling Services PLLC
• Arikka Kirstin Kalwara, M.S./CAGS
• Marie Christine Kamercia, LCSW
• Donna Elizabeth Kane, RPH

• Long Term Care Pharmacy in Waterford, CT
• Providers in Waterford, CT by specialty
• Long Term Care Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.