JKL Group, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54363 Issued in CA

Legal business name

JKL GROUP, INC.

Doing business as

Coslo Pharmacy

Practice address

9301 Telegraph Rd
Pico Rivera, CA 90660-5424

Phone

(562) 287-8678

NPI assigned

Jun 28, 2016

Last updated

Dec 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joey LeeNPI 1881626752

Title

Corporate Officer

Phone

(562) 287-8678

Specialties & licenses 2

Addresses

Other names 1

• Coslo Pharmacy Doing business as

Locations

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.

• Joey Kit Lee, PHARM.D., C.D.E.

  • Nutrition Support Pharmacist
  • Anaheim, CA
  • NPI 1881626752
  NPD Authorized official

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1053762419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 TELEGRAPH RD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605424",
            "telephone_number": "562-287-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 TELEGRAPH RD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605424",
            "telephone_number": "562-287-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "562-287-8678"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coslo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coslo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.