Jay Krishna LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009391 Issued in MI

Legal business name

JAY KRISHNA LLC

Practice address

7309 N Lilley Rd
Canton, MI 48187-2457

Phone

(734) 455-6060

Fax

(734) 446-6909

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Jayshree Gandhi

Title

Registered Pharmacist

Phone

(734) 455-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• caremax medical pharmacy Doing business as

Locations

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1285948588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872457",
            "telephone_number": "734-455-6060",
            "fax_number": "734-446-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872457",
            "telephone_number": "734-455-6060",
            "fax_number": "734-446-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY KRISHNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "JAYSHREE",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "734-455-6060"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "caremax medical pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Alex Jansen Jr., MD
• Zina Jassim
• Savanna Helen Javello
• Javicen LLC
• Michael Jawad
• Wimal Jayakody, PHYSICAL THERAPIST
• Asia Jefferson
• Jeffrey S Hagan OD PC
• Kara Joyce Jencks, MD
• Starkisha Raquel Jenkins

• Community/Retail Pharmacy in Canton, MI
• Providers in Canton, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.