Active NPI
Jahema Enterprise Inc
Doing business as Reddick Discount Pharmacy
- Pharmacy
- Reddick, FL
National Provider Identifier
1255677498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- JAHEMA ENTERPRISE INC
- Doing business as
- Reddick Discount Pharmacy
- Practice address
- 15320 NW Gainesville Road
Reddick, FL 32686 - Phone
- (352) 591-1116
- Fax
- (352) 591-3003
- NPI assigned
- Dec 17, 2012
- Last updated
- Feb 13, 2025
- 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
- Jayesh G Pambhar
- Title
- Owner
- Phone
- (352) 591-1116
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
15320 NW Gainesville Road
Reddick, FL 32686
Mailing address
PO Box 215
Reddick, FL 32686-0215
Phone (352) 591-1116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007958900 | Medicaid | FL |
Other names 1
- REDDICK DISCOUNT PHARMACY
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1255677498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "REDDICK",
"state": "FL",
"postal_code": "326860215",
"telephone_number": "352-591-1116",
"fax_number": "352-591-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15320 NW GAINESVILLE ROAD",
"city": "REDDICK",
"state": "FL",
"postal_code": "32686",
"telephone_number": "352-591-1116",
"fax_number": "352-591-3003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAHEMA ENTERPRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "PAMBHAR",
"authorized_official_first_name": "JAYESH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-591-1116"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007958900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REDDICK DISCOUNT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reddick, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.