Jya, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24823 Issued in FL

Legal business name

JYA, LLC

Practice address

2200 South Blvd W
Davenport, FL 33837-7002

Phone

(863) 421-9200

Fax

(863) 421-9220

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Yahaya Fidelis Abuh, PHD, RPH

Title

Pharmacy Manager/Owner

Phone

(863) 330-0681

Specialties & licenses 1

Addresses

Other names 1

• WEBB'S SQUARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1295042133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SOUTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377002",
            "telephone_number": "863-421-9200",
            "fax_number": "863-421-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SOUTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377002",
            "telephone_number": "863-421-9200",
            "fax_number": "863-421-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "ABUH",
        "authorized_official_first_name": "YAHAYA",
        "authorized_official_middle_name": "FIDELIS",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "863-330-0681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEBB'S SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eddy Jonas, SA-C
• Karen Arlet Jones
• Margaret Mae Jorge, APRN
• Lance Joseph, DDS
• Priya Pachikara Joseph, DPT
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• Community/Retail Pharmacy in Davenport, FL
• Providers in Davenport, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.