J & a Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00624500 Issued in NJ

Legal business name

J & A PHARMACY SERVICES LLC

Doing business as

Medicine Shoppe

Practice address

365 E Northfield Road
Livingston, NJ 07039

Phone

(973) 992-2121

Fax

(973) 992-2123

NPI assigned

Sep 14, 2006

Reactivated

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Amiee Keeven

Title

Program Management Coordinator

Phone

(973) 992-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicine Shoppe Doing business as

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306941927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E NORTHFIELD ROAD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-992-2121",
            "fax_number": "973-992-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E NORTHFIELD ROAD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-992-2121",
            "fax_number": "973-992-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & A PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-03-07",
        "deactivation_date": "2008-05-02",
        "reactivation_date": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "KEEVEN",
        "authorized_official_first_name": "AMIEE",
        "authorized_official_title_or_position": "PROGRAM MANAGEMENT COORDINATOR",
        "authorized_official_telephone_number": "973-992-2121"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00624500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3111022",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda William Iskander, PA-C
• Saira W Islam
• Rekha D. Iyengar, M.D.
• Sekhar Gopalan Iyer, MD, DO
• Chinweike Izeogu, MD
• Jackson Eye Care LLC
• Alexis Sara Jackson, AGACNP-BC
• Ebony Jackson
• Kurt T Jackson, M.D.
• David Jacobs

• Community/Retail Pharmacy in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.