Jayhawk Holdings Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00693000 Issued in NJ

Legal business name

JAYHAWK HOLDINGS INC

Practice address

2626 Federal St
Camden, NJ 08105-1936

Phone

(856) 963-0300

Fax

(856) 963-2202

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Deborah R Keaveny, RPH

Title

Contract Manager

Phone

(612) 227-7811

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Milly's Pharmacy Other name

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1336235902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051936",
            "telephone_number": "856-963-0300",
            "fax_number": "856-963-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051936",
            "telephone_number": "856-963-0300",
            "fax_number": "856-963-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYHAWK HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "KEAVENY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "612-227-7811",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00693000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3135034",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242764",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "0242781",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milly's Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Esmir M Javier
• Alison Jaworski
• Joseph Mark Jaworski, M.D.
• Don Jude Lakminda Jayamaha, DO
• Rakendu Jayasree Rajendran, MD
• Ainhoa Jayo Castrillo, MD
• Sirly Jeevan, CRNP
• Jeffrey a Kleeman DO
• Jenia Jenab-Wolcott, M.D.
• Sherri Jenkins, RN

• Community/Retail Pharmacy in Camden, NJ
• Providers in Camden, 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 Nov 30, 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.