JMC Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50858 Issued in CA

Legal business name

JMC PHARMACY, INC.

Practice address

777 W Blaine St
Riverside, CA 92507-3940

Phone

(951) 299-9922

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Michael Chan, PHARMD

Title

Owner

Phone

(951) 299-9922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ABC Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• JMC Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Riverside, CA
  • NPI 1023493244

  O20210216003004

  Same enrollment
• JMC Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Rancho Cucamonga, CA
  • NPI 1245676618

  O20210216003004

  Same enrollment

Tax ID family

Abc Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• JMC Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Rancho Cucamonga, CA
  • NPI 1245676618
  NPD tax ID

Locations

Practitioners 1

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

• William Woohyun Choi, PHARMD

  • Pharmacist
  • Corona, CA
  • NPI 1669980488
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1265796106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W BLAINE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073940",
            "telephone_number": "951-299-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W BLAINE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073940",
            "telephone_number": "951-299-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-299-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5644249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sung Jin, PHARMD
• Prateek Jindal, DO
• Salina M Jivan, OTD, OTR/L
• Jkim Nursing, Inc
• JMC Pharmacy, Inc.
• JMDK Healthcare LLC
• Jerine Francillia Jno-Charles
• Philip Jo, DDS
• Stephanie Yun-Ji Jo
• Joa Corporation

• Community/Retail Pharmacy in Riverside, CA
• Providers in Riverside, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.