J&K Healthcare Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60556149 Issued in WA

Legal business name

J&K HEALTHCARE ENTERPRISES INC

Doing business as

Yauger Park Family Pharmacy

Practice address

1625 Mottman Rd SW Ste 101
Tumwater, WA 98512-7833

Phone

(360) 357-3371

Fax

(360) 705-0570

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Jason Furbush

Title

Pharm D/ Owner

Phone

(360) 357-3371

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Yauger Park Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1124130042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MOTTMAN RD SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127833",
            "telephone_number": "360-357-3371",
            "fax_number": "360-705-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MOTTMAN RD SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127833",
            "telephone_number": "360-357-3371",
            "fax_number": "360-705-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&K HEALTHCARE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "FURBUSH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHARM D/ OWNER",
        "authorized_official_telephone_number": "360-357-3371"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60556149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146044",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6015762",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yauger Park Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Ireland, ARNP
• Tatjana Isaac, LICSW
• Jennifer Rose Ivey, CPC
• Genta Iwasaki
• Irene Iwenofu
• Lacey Jackson, LMP
• Susan R. Renee Jackson, LMP
• Sara E James
• Nichole L Jardine, LCSW
• Kirk Jarman, P.A.

• Community/Retail Pharmacy in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.