Juba Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

JUBA PHARMACY INC

Practice address

14277 Tukwila International Blvd
Tukwila, WA 98168-4124

Phone

(816) 785-3188

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Robert WanyonyiNPI 1609475052

Title

Owner

Phone

(816) 785-3188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Wanyonyi, PHARMD

  • Pharmacist
  • Saint Joseph, MO
  • NPI 1609475052
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1093550097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19059 JENSEN WAY NE UNIT 209",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706016",
            "telephone_number": "816-785-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14277 TUKWILA INTERNATIONAL BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684124",
            "telephone_number": "816-785-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "WANYONYI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-785-3188"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph L. Dumovic, DC, ND, Inc, PS
• Bertrang Joseph
• Jamie Joseph
• Kimberly Juarez Gadea
• Omar Juarez
• Valerie Juergens
• Junction Physical Medicine
• Chanil Jung, D.C.
• Just Medical Supply Inc
• Katherine Jelene Fowler Justus, MA CCC SLP

• Pharmacy in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.