Juba Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JUBA PHARMACY INC

Doing business as

Juba Pharmacy inc

Practice address

1926 Chicago Ave S
Minneapolis, MN 55404

Phone

(612) 208-0494

Fax

(612) 545-5527

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Ahmed Dayib, PHARMDNPI 1134839350

Title

Owner/Manager

Phone

(816) 377-5388

Specialties & licenses 1

Addresses

Other names 1

• Juba Pharmacy inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Dayib, PHARMACIST

  • Pharmacist
  • Minneapolis, MN
  • NPI 1134839350
  NPD Authorized official

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1346754298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041903",
            "telephone_number": "816-377-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 CHICAGO AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-208-0494",
            "fax_number": "612-545-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "DAYIB",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "816-377-5388",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juba Pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kai A Joy, LGSW
• Joyful Journey Behavioral Health LLC
• Joyful Journey Center Inc
• Kiana Joyner, MSW, LICSW
• Esther Juarez
• Juba Transportation LLC
• Jubbaland Health Home Care
• Nicholas Hall Jubert, M.D.
• Mark B Juckett, MD
• Deborah Herman Juda, RN, WHNP

• Community/Retail Pharmacy in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.