JW2 LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

JW2 LLC

Practice address

922 E Brigham Rd BLDG 4D
St George, UT 84790-8751

Phone

(435) 900-1008

Fax

(435) 900-1009

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Travis C Jackman, PHARM D

Title

Owner

Phone

(435) 900-1008

Specialties & licenses 1

Addresses

Other names 1

• Desert Canyon Pharmacy Doing business as

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1235950346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E BRIGHAM RD BLDG 4D",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908751",
            "telephone_number": "435-900-1008",
            "fax_number": "435-900-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E BRIGHAM RD BLDG 4D",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908751",
            "telephone_number": "435-900-1008",
            "fax_number": "435-900-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-900-1008",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Canyon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Buchanan Corporation
• Kalli Jordan June
• Katherine Mae Figueroa Jurado
• Justin K Poppe P C
• JW2 LLC
• Rajiv J Kaddu, MD
• Tristan Leigh Kahn
• Robin E Kahus
• Joshua David Kaiser
• Michael Kaniho

• Long Term Care Pharmacy in St George, UT
• Providers in St George, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.