Organization Active NPI

Jtecs Inc

  • Community/Retail Pharmacy
  • Bloomsburg, PA
National Provider Identifier
1144565847
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Jennifer Lynn Seltzer, PHARM.D.NPI 1124364195
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018971500003MedicaidPA
2138840OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Bloomsburg
CONNECT URL Bloomsburg Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.