Jai Shri Krishna LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482178 Issued in PA

Legal business name

JAI SHRI KRISHNA LLC

Practice address

1735 South St FL 1
Philadelphia, PA 19146-1528

Phone

(215) 735-1200

Fax

(215) 735-0455

NPI assigned

Jun 4, 2011

Organization subpart

No

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

Authorized official

Name

Antim PatelNPI 1144599291

Title

Pharmacy Manager

Phone

(215) 735-1200

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• pennmark pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Antim R Patel

  • Pharmacist
  • Philadelphia, PA
  • NPI 1144599291
  NPD Authorized official

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1265726533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 SOUTH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461528",
            "telephone_number": "215-735-1200",
            "fax_number": "215-735-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 SOUTH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461528",
            "telephone_number": "215-735-1200",
            "fax_number": "215-735-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI SHRI KRISHNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-04",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANTIM",
        "authorized_official_title_or_position": "PHARMACY  MANAGER",
        "authorized_official_telephone_number": "215-735-1200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175427",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pennmark pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dave Toh Jah
• Doreen Jahanpour
• Jharna Jahnavi, MD
• Rachel Jahnke, CRNP
• Nisreen Jahshan, PA-C
• Lamya Jaigirdar, DO
• Mahtab Jaigirdar
• Jimmy Jaime
• Angela Jain, M.D.
• Ankit Jain

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.