NPIMap

Organization Active NPI

Janus RX LLC

  • Long Term Care Pharmacy
  • Traverse City, MI
National Provider Identifier
1265190409
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JANUS RX LLC
Practice address
735 S Garfield Ave Ste 205
Traverse City, MI 49686-3463
Phone
(231) 421-3039
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
January Miller
Title
Vice President
Phone
(334) 819-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

735 S Garfield Ave Ste 205
Traverse City, MI 49686-3463

Mailing address

3480 Eastern Blvd
Montgomery, AL 36116-1700
Phone (334) 819-4500

Other identifiers 1

IdentifierTypeStateIssuer
1265190409MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Janus RX49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

1001 Medical Park Dr SE
Ste 113
Grand Rapids, MI 49546

735 S Garfield Ave
Ste 205
Traverse City, MI 49686
Phone (231) 421-3039

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1265190409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161700",
            "telephone_number": "334-819-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S GARFIELD AVE STE 205",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863463",
            "telephone_number": "231-421-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "334-819-4511"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265190409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.