JJLM Pharmaceuticals

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55717 Issued in CA

Legal business name

JJLM PHARMACEUTICALS

Practice address

396 S. Main St. Ste 102
Orange, CA 92868

Phone

(714) 363-3686

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan James Leland Ma, PHARMDNPI 1780104869

Title

President

Phone

(714) 363-3686

Specialties & licenses 1

Addresses

Other names 1

• Prime Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan James Leland Ma, PHARMD, MS

  • Community/Retail Pharmacy
  • Orange, CA
  • NPI 1780104869
  NPD Authorized official

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1063932275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 S MAIN ST STE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 S. MAIN ST. STE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-363-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJLM PHARMACEUTICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAMES LELAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-363-3686",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xihui Jin
• Renuka Jinadasa
• Aileen Pearl Jiras, PA
• Michael Sota Jitosho, OD
• Shamin Jivabhai Patel, MD
• JNK Wellness, Inc
• Joanne McAllister, M.a.
• Joaquina Siles DDS Inc
• Steven H Joe, D.O.
• Victor Joe, MD

• Community/Retail Pharmacy in Orange, CA
• Providers in Orange, 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 Mar 6, 2018; 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.