Jac Naples L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

JAC NAPLES L.L.C.

Practice address

5482 Rattlesnake Hammock Rd
Naples, FL 34113-7454

Phone

(239) 262-2222

NPI assigned

Nov 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Herwig, R.PH

Title

Owner

Phone

(239) 262-2222

Specialties & licenses 2

Addresses

Other names 1

• GULF SHORE APOTHECARY Doing business as

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1083044796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GULF SHORE BLVD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341024971",
            "telephone_number": "239-262-2222",
            "fax_number": "239-262-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5482 RATTLESNAKE HAMMOCK RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137454",
            "telephone_number": "239-262-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC NAPLES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "HERWIG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-262-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF SHORE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsteen Ivanaj
• Nayara Nancy Izquierdo Perez
• Yeiny Izquierdo, HAS
• J Daniel Labs MD PA
• J.a.G Redefined Healthcare
• Jackson Center, PA
• Jackson Medical Enterprise
• Angela Noelle Jackson, M.A.
• Howard Leslie Jackson, PT
• Jon Ryan Jackson, M.D.

• Pharmacy in Naples, FL
• Providers in Naples, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.