J&J RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J&J RX

Practice address

403 W F St
Ontario, CA 91762-3207

Phone

(909) 467-1313

Fax

(909) 467-1362

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Johnny Wong, PHARMD

Title

President

Phone

(909) 762-7852

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BALDY VISTA PHARMACY Doing business as

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1154422111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623207",
            "telephone_number": "909-467-1313",
            "fax_number": "909-467-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623207",
            "telephone_number": "909-467-1313",
            "fax_number": "909-467-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-762-7852",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA441080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0570932",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALDY VISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BALDY VISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamima Islam
• Sara Elizabeth Itani, M.S., CCC-SLP
• Oluchi C Iwuoha
• Sara Izadi, PHARM.D.
• Lizeth Izazaga
• Wasileh Jabbar
• Jake Jabbour
• Ce Anna Rose Jackson
• Desharria Jackson
• Destiny Jackson

• Community/Retail Pharmacy in Ontario, CA
• Providers in Ontario, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.