Knights JXL Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KNIGHTS JXL PHARMACY INC

Practice address

18120 Brookhurst St Ste 57
Fountain Valley, CA 92708-6727

Phone

(714) 962-7192

Fax

(714) 962-1741

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Jiajun Xue

Title

President/Ceo

Phone

(714) 962-7192

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ICON PHARMACY Doing business as

Tax ID family

Dang Nguyen Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Knights JXL Pharmacy Inc

  • Community/Retail Pharmacy
  • Laguna Hills, CA
  • NPI 1326977513
  NPD tax ID

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1194144485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18120 BROOKHURST ST STE 57",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086727",
            "telephone_number": "714-962-7192",
            "fax_number": "714-962-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18120 BROOKHURST ST STE 57",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086727",
            "telephone_number": "714-962-7192",
            "fax_number": "714-962-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTS JXL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "XUE",
        "authorized_official_first_name": "JIAJUN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-962-7192"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Kina, A.S., SLPA
• KKB Health Solutions
• KL SLP LLC
• Megan R Kleschka, OCCUPATIONAL THERAPY
• Sandra W Kluwe, M.D.
• Gregory Brent Knobbe, D.C,
• Knox Recovery LLC
• Nina A Knox
• Andrew Pin-Wei Ko, MD
• Robert Kobus, D.C.

• Community/Retail Pharmacy in Fountain Valley, CA
• Providers in Fountain Valley, 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 Apr 16, 2025; 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.