Active NPI
Jtecs Inc
- Community/Retail Pharmacy
- Bloomsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JTECS INC
- Practice address
- 1000 Market St Ste 9
Bloomsburg, PA 17815-2601 - Phone
- (570) 784-9582
- Fax
- (570) 389-1622
- NPI assigned
- Dec 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Lynn Seltzer, PHARM.D.
- Title
- President
- Phone
- (570) 784-9582
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PP413586L | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1000 Market St Ste 9
Bloomsburg, PA 17815-2601
Mailing address
1000 Market St Ste 9
Bloomsburg, PA 17815-2601
Phone (570) 784-9582
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018971500003 | Medicaid | PA | |
| 2138840 | Other | PK |
Other names 1
- The Medicine Shoppe Pharmacy
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bloomsburg | ||
| CONNECT URL | Bloomsburg | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091026000608 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789721671 | Practice locations: Bloomsburg, PA |
| O20220505001995 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234516527 | Practice locations: Bloomsburg, PA |
| O20220520001907 | PA | DME Supplier - Pharmacy | 9234516527 | Practice locations: Bloomsburg, PA |
National Provider Directory
National Provider DirectoryLocations
1000 Market St
Ste 9
Bloomsburg, PA 17815
Phone (570) 784-9582
434 N Center St
Corry, PA 16407
Phone (814) 664-2053
315 S Erie St
Ste A
Mercer, PA 16137
Phone (724) 662-2240
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bloomsburg, PA
- NPI 1124364195
-
- Pharmacist
- Mercer, PA
- NPI 1437451960
-
- Pharmacist
- Corry, PA
- NPI 1619246600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650499200000",
"number": "1144565847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MARKET ST STE 9",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178152601",
"telephone_number": "570-784-9582",
"fax_number": "570-389-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MARKET ST STE 9",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178152601",
"telephone_number": "570-784-9582",
"fax_number": "570-389-1622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JTECS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2022-04-21",
"certification_date": "2022-04-20",
"status": "A",
"authorized_official_last_name": "SELTZER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-784-9582",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP413586L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018971500003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2138840",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bloomsburg",
"affiliation": "N",
"address_1": "1000 Market St",
"city": "Bloomsburg",
"state": "PA",
"country_code": "US",
"postal_code": "178152600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bloomsburg",
"affiliation": "N",
"endpointDescription": "PHARMACY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Bloomsburg",
"address_1": "1000 Market St",
"city": "Bloomsburg",
"state": "PA",
"country_code": "US",
"postal_code": "178152600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Medicine Shoppe Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Medicine Shoppe Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.