NPIMap

Organization Active NPI

Jammal Pharms Inc

  • Community/Retail Pharmacy
  • Kearney, NE
National Provider Identifier
1235223645
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JAMMAL PHARMS INC
Practice address
2706 2ND Ave
Ste a
Kearney, NE 68847-4429
Phone
(308) 234-8056
Fax
(308) 234-8060
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jerry Lee Jensen, PHARMDNPI 1508995861
Title
Owner Pharmacist
Phone
(308) 234-8056

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 110 NE
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2706 2ND Ave
Ste a
Kearney, NE 68847-4429

Mailing address

2706 2ND Ave
Ste a
Kearney, NE 68847-4429

Other identifiers 2

IdentifierTypeStateIssuer
2816645OtherNENCPDP #
10025044200MedicaidNE

Other names 1

  • Medicap Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2706 2nd Ave
Ste A
Kearney, NE 68847
Phone (308) 234-8056

Practitioners & affiliated clinicians

Practitioners 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235223645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 2ND AVE",
            "address_2": "STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 2ND AVE",
            "address_2": "STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474429",
            "telephone_number": "308-234-8056",
            "fax_number": "308-234-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMMAL PHARMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "308-234-8056",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "110",
            "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": "NCPDP #",
            "identifier": "2816645",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025044200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.