Jignesh LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30060 Issued in FL

Legal business name

JIGNESH LLC

Doing business as

Jay's Pharmacy

Practice address

828 S Jefferson St
Perry, FL 32347-4119

Phone

(850) 584-7800

Fax

(850) 584-7803

NPI assigned

May 19, 2016

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jignesh Patel

Title

Pharmacist

Phone

(352) 874-5741

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JAY'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1104273127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323474119",
            "telephone_number": "850-584-7800",
            "fax_number": "850-584-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323474119",
            "telephone_number": "850-584-7800",
            "fax_number": "850-584-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIGNESH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "352-874-5741"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160277",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018108700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Ingle
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• Elmira Jackson
• Catharine H Jacob, RN
• Joel K Shugar MD Inc (Nature Coast Eye Care Institute)
• Joel K Shugar MD PA
• Joel K Shugar MD PA
• Tasonyia Shamore Johnson, APRN
• Gary Johnston Jr., DNP, APRN-C

• Community/Retail Pharmacy in Perry, FL
• Providers in Perry, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.