NPIMap

Organization Active NPI

Universal Products and Services

Doing business as JNK Pharmacy

  • Community/Retail Pharmacy
  • Glen Burnie, MD
National Provider Identifier
1053925693
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSAL PRODUCTS AND SERVICES
Doing business as
JNK Pharmacy
Practice address
1810 Crain Hwy S Unit B
Glen Burnie, MD 21061-5505
Phone
(443) 883-3825
Fax
(443) 883-3829
NPI assigned
Sep 1, 2020
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Kavita ChavanNPI 1629481916
Title
Pharmacy Manager
Phone
(443) 883-3825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1810 Crain Hwy S Unit B
Glen Burnie, MD 21061-5505

Mailing address

1810 Crain Hwy S
Glen Burnie, MD 21061-5505
Phone (443) 883-3825

Other names 1

  • JNK Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113003049 MD Part B Supplier - Pharmacy 2860805728 Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory
Tax ID family
JNK Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1810 Crain Hwy S
Glen Burnie, MD 21061

1810 Crain Hwy S
Unit B
Glen Burnie, MD 21061
Phone (443) 883-3825

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": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1053925693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615505",
            "telephone_number": "443-883-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CRAIN HWY S UNIT B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615505",
            "telephone_number": "443-883-3825",
            "fax_number": "443-883-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PRODUCTS AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CHAVAN",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "443-883-3825"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JNK Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.