Knights JXL Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KNIGHTS JXL PHARMACY INC

Doing business as

Icon Pharmacy

Practice address

23141 Moulton Pkwy Ste 104
Laguna Hills, CA 92653-1241

Phone

(949) 909-0029

Fax

(949) 991-3428

NPI assigned

May 14, 2026

Last updated

May 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jiajun Xue

Title

President/Ceo

Phone

(949) 909-0029

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ICON PHARMACY Doing business as

Tax ID family

Dang Nguyen Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Knights JXL Pharmacy Inc

  dba Icon Pharmacy

  • Community/Retail Pharmacy
  • Fountain Valley, CA
  • NPI 1194144485
  NPD tax ID

Locations

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1326977513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 104",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531241",
            "telephone_number": "949-909-0029",
            "fax_number": "949-991-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 104",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531241",
            "telephone_number": "949-909-0029",
            "fax_number": "949-991-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTS JXL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "XUE",
        "authorized_official_first_name": "JIAJUN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "949-909-0029"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP",
            "identifier": "PHY61540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KLC Healthcare (Guiding With Care)
• Andrea Kline
• Barry J Klonsky, RPT
• Sandra M. Klonsky, M.F.T.
• Barbara Ann Knapp-Colston, ANP
• Kelsey Knudsen, RBT
• Linda Kochan, OTR
• Cori Lee Koenig
• Tamra Koester
• Koh and Park DDS Inc

• Community/Retail Pharmacy in Laguna Hills, CA
• Providers in Laguna Hills, 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 May 14, 2026; 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.