NPIMap

Organization Active NPI

Jwa Services Inc

  • Community/Retail Pharmacy
  • Waterford, CT
National Provider Identifier
1124413158
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY.0002312 Issued in CT
Legal business name
JWA SERVICES INC
Practice address
92 Boston Post Rd
Waterford, CT 06385-2421
Phone
(860) 865-1303
Fax
(860) 437-7323
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Dr. David D Wu, PHARM.D.NPI 1376833145
Title
President
Phone
(860) 865-1303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY.0002312 CT Primary

Addresses

Primary practice location

92 Boston Post Rd
Waterford, CT 06385-2421

Mailing address

92 Boston Post Rd
Waterford, CT 06385-2421
Phone (860) 865-1303

Other names 1

  • Simply Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jwaservicesinc@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

92 Boston Post Rd
Waterford, CT 06385
Phone (860) 865-1303

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1124413158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852421",
            "telephone_number": "860-865-1303",
            "fax_number": "860-437-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852421",
            "telephone_number": "860-865-1303",
            "fax_number": "860-437-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-865-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jwaservicesinc@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "92 Boston Post Rd",
            "city": "Waterford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063852421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Simply Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simply Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.