JKL Group, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50816 Issued in CA

Legal business name

JKL GROUP, INC.

Practice address

13931 San Antonio Dr
Norwalk, CA 90650-4036

Phone

(562) 807-0001

Fax

(562) 807-0006

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Joey Kit LeeNPI 1881626752

Title

Corporate Officer

Phone

(562) 807-0001

Specialties & licenses 2

Addresses

Other names 1

• San Antonio Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Pharmedcare LLC

  • Community/Retail Pharmacy
  • Alhambra, CA
  • NPI 1588616791

  Member Of

  NPD member

Locations

Practitioners 3

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

• Joey Kit Lee, PHARM.D., C.D.E.

  • Nutrition Support Pharmacist
  • Anaheim, CA
  • NPI 1881626752
  NPD Authorized official
• Hanh Ngan Huynh, RPH

  • Pharmacist
  • Norwalk, CA
  • NPI 1306510540
  NPD (past)
• Sandra Huantes Mollinedo, PHARMD

  • Pharmacist
  • Norwalk, CA
  • NPI 1437741840
  NPD (past)

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1073854048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13931 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504036",
            "telephone_number": "562-807-0001",
            "fax_number": "562-807-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13931 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504036",
            "telephone_number": "562-807-0001",
            "fax_number": "562-807-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "KIT",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "562-807-0001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Antonio Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anand Jethva
• Catherine G Jimenez, FNP
• Esmeralda Jimenez
• Imelda Jimenez
• Veronica Jimenez, BACHELORS
• Nickoleth Johely Joch
• John Cohen, DDS Dental Corp
• John Larcabal OD
• Alexus Johnson
• Alisha Renee Johnson, PSYD

• Community/Retail Pharmacy in Norwalk, CA
• Providers in Norwalk, 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.
• 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.