Organization Active NPI

J & N Pharmacy Corp

  • Community/Retail Pharmacy
  • Clearwater, FL
National Provider Identifier
1053681080
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25872 Issued in FL
Legal business name
J & N PHARMACY CORP
Practice address
430 Morton Plant St
Suite 100a
Clearwater, FL 33756-3398
Phone
(727) 474-4391
Fax
(925) 522-2930
NPI assigned
Jan 6, 2012
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mrs. Marie E. Lassalle
Title
Credentialing Manager
Phone
(925) 621-2918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25872 FL Primary

Addresses

Primary practice location

430 Morton Plant St
Suite 100a
Clearwater, FL 33756-3398

Mailing address

430 Morton Plant St
Suite 100a
Clearwater, FL 33756-3398
Phone (727) 474-4391

National Provider Directory

National Provider Directory

Locations

430 Morton Plant St
Ste 100A
Clearwater, FL 33756
Phone (727) 474-4391

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1053681080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "address_2": "SUITE 100A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-474-4391",
            "fax_number": "925-522-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "address_2": "SUITE 100A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-474-4391",
            "fax_number": "925-522-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & N PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "LASSALLE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "925-621-2918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.