Jay Shree Ganesh Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006305A Issued in IN

Legal business name

JAY SHREE GANESH INC

Doing business as

DUPONT DRUGS

Practice address

10124 Auburn Park Dr
Fort Wayne, IN 46825-2392

Phone

(260) 739-7160

Fax

(260) 739-7268

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Bharat Patel

Title

Owner

Phone

(260) 445-6741

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DUPONT DRUGS Doing business as

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1265795082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 AUBURN PARK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252392",
            "telephone_number": "260-445-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 AUBURN PARK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252392",
            "telephone_number": "260-739-7160",
            "fax_number": "260-739-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY SHREE GANESH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-445-6741"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006305A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1563851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUPONT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Jarvis
• Rachel Jarvis
• Kori Jasper, BS
• Jaspreet S Jawanda, M.D.
• Jay Bastian LLC
• Jithmie Jayawickrema, PT
• Vimal Jayswal, MD
• Erica Marie Jefferies, FNP
• Jennifer Lyn Jefferies, RBT
• Jefferson Park Pediatrics P C

• Community/Retail Pharmacy in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.