Jehas Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY34322 Issued in CA

Legal business name

JEHAS PHARMACY INC

Doing business as

PARK PHARMACY

Practice address

3716 San Pablo Dam Rd
El Sobrante, CA 94803-2820

Phone

(510) 223-1321

Fax

(510) 758-6483

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Lori Dobbs

Title

Manager

Phone

(510) 223-1321

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PARK PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1225125248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948032820",
            "telephone_number": "510-223-1321",
            "fax_number": "510-758-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948032820",
            "telephone_number": "510-223-1321",
            "fax_number": "510-758-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEHAS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-223-1321"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1999309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dejanique Edith Hudson
• Melanie Amber Hudson
• Whitney L Ibarra
• Karen Aleene Jackson
• Ivan Jauregui
• Jennifer Hammett, D.C.
• Jaime Denise Jimenez
• Sergio Jimenez
• Anisha Johnson
• Caridad Johnson

• Community/Retail Pharmacy in El Sobrante, CA
• Providers in El Sobrante, 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 Sep 10, 2015; 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.