Javiish Industries LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JAVIISH INDUSTRIES LLC

Practice address

1825 Dunn Rd
Florissant, MO 63033-6116

Phone

(314) 200-1233

Fax

(314) 200-1484

NPI assigned

Apr 28, 2026

Organization subpart

No

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

Authorized official

Name

Jacqueline Hickman, NONE

Title

Manager

Phone

(314) 409-7074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1124964572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336116",
            "telephone_number": "314-200-1233",
            "fax_number": "314-200-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336116",
            "telephone_number": "314-200-1233",
            "fax_number": "314-200-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIISH INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-409-7074",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.