D J a M Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54488 Issued in CA

Legal business name

D J A M INC

Practice address

3936 Phelan Rd Ste A1
Phelan, CA 92371-4142

Phone

(760) 706-0130

Fax

(760) 706-0131

NPI assigned

Oct 23, 2016

Organization subpart

No

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

Authorized official

Name

Janet Attia

Title

Ceo

Phone

(760) 980-0920

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Phelan Family Pharmacy Doing business as

Practitioners 1

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

• David Mourcus, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Phelan, CA
  • NPI 1427592237
  NPD (past)

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1285185488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9778 SVL BOX",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955142",
            "telephone_number": "760-706-0130",
            "fax_number": "760-706-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 PHELAN RD STE A1",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923714142",
            "telephone_number": "760-706-0130",
            "fax_number": "760-706-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D J A M INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-23",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-980-0920"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelan Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Munju Anna Chung
• Joshua Wayne Clark
• Kristianna Mercedes Clark, PPS
• Compassionate Care Behavioral Supports LLC
• Cierra Crampton, MS
• Rachelle Davis, PHARMD
• Dipak Katbamna DDS P.C.
• Ben Wilder Eby, DDS
• Family Medical Clinic & Urgent Care Inc
• Maya Feldman, CMT, MMP

• Community/Retail Pharmacy in Phelan, CA
• Providers in Phelan, 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 Mar 17, 2017; 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.