Jai Bohle Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24046 Issued in FL

Legal business name

JAI BOHLE INC

Practice address

2646 Narnia Way
Suite 101
Land O Lakes, FL 34638-7231

Phone

(813) 388-6875

Fax

(813) 388-6871

NPI assigned

May 3, 2009

Organization subpart

No

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

Authorized official

Name

Vipul PatelNPI 1902483571

Title

Owner/President

Phone

(813) 317-3018

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Aum Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vipul Patel

  • Pharmacist
  • Land O Lakes, FL
  • NPI 1902483571
  NPD Authorized official
• Vipulkumar Patel

  • Pharmacist
  • Land O Lakes, FL
  • NPI 1306413406
  NPD (past)

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

{
    "created_epoch": "1241308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1205060464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 NARNIA WAY",
            "address_2": "SUITE 101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387231",
            "telephone_number": "813-388-6875",
            "fax_number": "813-388-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 NARNIA WAY",
            "address_2": "SUITE 101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387231",
            "telephone_number": "813-388-6875",
            "fax_number": "813-388-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI BOHLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-03",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-317-3018"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120101",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001184200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aum Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francesca D Jackson
• Melissa Odette Vega Jackson, OTR/L
• Mikaela Jackson
• Shannon Rhiann Jackson, M.S CCC, SLP
• Jacob Pedraza DMD PA
• Nadeen Jamal, DMD
• Javier F. Aponte Sr.
• Jcjtam, LLC.
• JD the OT
• Yves Nemours Jean-Baptiste Jr., MD

• Community/Retail Pharmacy in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.