Jra Health, LLC
Organization Active NPI Home Infusion Therapy Pharmacy · Hawthorne, FL
NPI 1346974847 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1346974847
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Infusion Therapy Pharmacy 3336H0001X
- Legal business name
- JRA HEALTH, LLC
- Practice address
- 6925 SE US Highway 301
Hawthorne, FL 32640-3966 - Phone
- (352) 443-1684
- Fax
- (352) 325-4755
- NPI assigned
- Jul 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. John Ramzi Awad, PHARMD
- Title
- Administrator
- Phone
- (352) 443-1684
Practitioners 1
-
John Ramzi Awad, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Jra Health |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230427000393 | FL | DME Supplier - Pharmacy | 8224493267 | Practice locations: Hawthorne, FL |
National Provider Directory
Locations
6925 SE US Highway 301
Hawthorne, FL 32640
Phone (352) 443-1684
4063 Salisbury Rd
Ste 212
Jacksonville, FL 32216
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Yes | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
6925 SE US Highway 301
Hawthorne, FL 32640-3966
Mailing address
PO Box 96
Hawthorne, FL 32640-0096
Phone (352) 443-1684
Other names
- JRA HEALTH, LLC
- JRA Health
Other providers in Hawthorne, FL
- Healthy Lifestyles, LLC
- Holiday CVS LLC
- Katherine Sue Hooper
- Nikki Nicole Hutchinson
- Michelle Johnson
- Lorraine N Keites
- Elizabeth Landrus
- Neil Franklin Letts
- Gillian Louissaint
- Myia McCloud
All providers in Hawthorne, FL · Home Infusion Therapy Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.