Organization Active NPI

Jlgrx LLC

  • Compounding Pharmacy
  • Malvern, PA
National Provider Identifier
1225520653
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PP482790 Issued in PA
Legal business name
JLGRX LLC
Practice address
50 Three Tun Rd Ste 2
Malvern, PA 19355-3988
Phone
(484) 321-3711
Fax
(484) 321-3710
NPI assigned
Jun 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
James GrecoNPI 1033528799
Title
Owner/Authorized Member
Phone
(484) 321-3711

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X PP482790 PA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

50 Three Tun Rd Ste 2
Malvern, PA 19355-3988

Mailing address

50 Three Tun Rd Ste 2
Malvern, PA 19355-3988
Phone (484) 321-3711

Other identifiers 1

IdentifierTypeStateIssuer
2177903OtherPK

Other names 1

  • Rx Remedi Doing business as

National Provider Directory

National Provider Directory

Locations

50 Three Tun Rd
Ste 2
Malvern, PA 19355
Phone (484) 321-3711

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1225520653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 THREE TUN RD STE 2",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553988",
            "telephone_number": "484-321-3711",
            "fax_number": "484-321-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 THREE TUN RD STE 2",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553988",
            "telephone_number": "484-321-3711",
            "fax_number": "484-321-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLGRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "484-321-3711"
    },
    "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": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP482790",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Remedi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.