Active NPI
Juan and John Drugs
Doing business as K AND M Drugs
- Community/Retail Pharmacy
- Clewiston, FL
National Provider Identifier
1346305778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH13907
- Legal business name
- JUAN AND JOHN DRUGS
- Doing business as
- K AND M Drugs
- Practice address
- 340 E Sugarland Hwy
Ste a
Clewiston, FL 33440-3124 - Phone
- (863) 983-7277
- Fax
- (863) 983-7229
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haitham Kaki, PHARM D.
- Title
- Owner, President
- Phone
- (863) 983-7277
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH13907 | FL | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
340 E Sugarland Hwy
Ste a
Clewiston, FL 33440-3124
Mailing address
340 E Sugarland Hwy
Ste H
Clewiston, FL 33440-3124
Phone (863) 983-7277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009844 | Other | PK | |
| 103463400 | Medicaid | FL |
Other names 1
- K AND M Drugs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090803000050 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416000872 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clewiston, FL; Labelle, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba K & M Drugs
- Community/Retail Pharmacy
- Labelle, FL
- NPI 1972668176
O20090803000050
National Provider Directory
National Provider DirectoryLocations
340 E Sugarland Hwy
Ste A
Clewiston, FL 33440
Phone (863) 983-7277
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Labelle, FL
- NPI 1578165544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570752000000",
"number": "1346305778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E SUGARLAND HWY",
"address_2": "STE H",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403124",
"telephone_number": "863-983-7277",
"fax_number": "863-983-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E SUGARLAND HWY",
"address_2": "STE A",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403124",
"telephone_number": "863-983-7277",
"fax_number": "863-983-7229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN AND JOHN DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2019-10-11",
"status": "A",
"authorized_official_last_name": "KAKI",
"authorized_official_first_name": "HAITHAM",
"authorized_official_title_or_position": "OWNER, PRESIDENT",
"authorized_official_telephone_number": "863-983-7277",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH13907",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2009844",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103463400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "K AND M Drugs",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "K AND M Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clewiston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.