Active NPI
Jajab Enterprise Services LLC
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1215469424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 31347
- Legal business name
- JAJAB ENTERPRISE SERVICES LLC
- Practice address
- 3010 S Richey St Ste C
Suite C
Houston, TX 77017-7220 - Phone
- (281) 994-7363
- Fax
- (281) 845-7523
- NPI assigned
- Mar 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin McDonald
- Title
- Dr.
- Phone
- (281) 994-7603
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 31347 | TX | Primary |
Addresses
Primary practice location
3010 S Richey St Ste C
Suite C
Houston, TX 77017-7220
Mailing address
3010 S Richey St Ste C
Suite C
Houston, TX 77017-7220
Phone (281) 994-7363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169342 | Other | PK |
Other names 1
- Legendz Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1215469424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 S RICHEY ST STE C",
"address_2": "SUITE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770177220",
"telephone_number": "281-994-7363",
"fax_number": "281-845-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 S RICHEY ST STE C",
"address_2": "SUITE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770177220",
"telephone_number": "281-994-7363",
"fax_number": "281-845-7523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAJAB ENTERPRISE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-28",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "281-994-7603"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "31347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2169342",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legendz Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.