Organization Active NPI

Genis Enterprise Inc.

Doing business as jays pharmacy & liquor

  • Community/Retail Pharmacy
  • Stone Park, IL
National Provider Identifier
1184846339
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GENIS ENTERPRISE INC.
Doing business as
jays pharmacy & liquor
Practice address
1550 N Mannheim Rd
Stone Park, IL 60165-1117
Phone
(708) 450-1900
Fax
(708) 450-1904
NPI assigned
May 3, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Vivek J. Patel, RPHNPI 1518289057
Title
Pharmacist in Charge
Phone
(708) 450-1900

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 IL Primary

Addresses

Primary practice location

1550 N Mannheim Rd
Stone Park, IL 60165-1117

Mailing address

1550 N Mannheim Rd
Stone Park, IL 60165-1117
Phone (708) 450-1900

Other names 1

  • jays pharmacy & liquor Doing business as

National Provider Directory

National Provider Directory

Locations

1550 N Mannheim Rd
Stone Park, IL 60165
Phone (708) 450-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1184846339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MANNHEIM RD",
            "city": "STONE PARK",
            "state": "IL",
            "postal_code": "601651117",
            "telephone_number": "708-450-1900",
            "fax_number": "708-450-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MANNHEIM RD",
            "city": "STONE PARK",
            "state": "IL",
            "postal_code": "601651117",
            "telephone_number": "708-450-1900",
            "fax_number": "708-450-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENIS ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "708-450-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jays pharmacy & liquor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.