Organization Active NPI

Juan and John Drugs

Doing business as K AND M Drugs

  • Community/Retail Pharmacy
  • Clewiston, FL
National Provider Identifier
1346305778
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH13907 Issued in FL
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

Updated by the provider on Oct 11, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2009844OtherPK
103463400MedicaidFL

Other names 1

  • K AND M Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.