Janki Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006563A Issued in IN

Legal business name

JANKI PHARMACY, INC

Practice address

730 Main St
Clay City, IN 47841-1332

Phone

(812) 939-2173

Fax

(812) 939-2508

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Alpesh PatelNPI 1679963995

Title

President

Phone

(812) 240-7405

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Clay City Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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

• Alpesh Patel, B. PHARM

  • Pharmacist
  • Terre Haute, IN
  • NPI 1679963995
  NPD Authorized official
• Pavik B Patel, CPHT

  • Pharmacy Technician
  • Clay City, IN
  • NPI 1245714104
  NPD
• Christine Renee Heffner, RPH

  • Geriatric Pharmacist
  • Clay City, IN
  • NPI 1104384478
  NPD (past)
• Niravkumar J Patel, PHARM.D

  • Pharmacist
  • Clay City, IN
  • NPI 1679049498
  NPD (past)
• Patricia Lynne Pine, RPH

  • Pharmacist
  • Clay City, IN
  • NPI 1154804714
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1285095331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044044",
            "telephone_number": "812-231-1040",
            "fax_number": "812-231-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MAIN ST",
            "city": "CLAY CITY",
            "state": "IN",
            "postal_code": "478411332",
            "telephone_number": "812-939-2173",
            "fax_number": "812-939-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANKI PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-240-7405"
    },
    "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": "IN",
            "license": "60006563A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158702",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285095331",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201357460A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Harbaugh I
• Christine Renee Heffner, RPH
• Valerie J Hensley, P.T
• Thomas Hewitt, PA
• Keeley Hollen, RDN
• Sarah Christine Ledgerwood
• Niravkumar J Patel, PHARM.D
• Pavik B Patel, CPHT
• Patricia Lynne Pine, RPH
• Southern Indiana Transportation

• All providers in Clay City, IN
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.