JC Millennium Enterprises, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

32030 Issued in TX

Legal business name

JC MILLENNIUM ENTERPRISES, LLC

Practice address

4926 Columbia Ave
Dallas, TX 75214-5506

Phone

(817) 408-0417

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Jordan Baluyot

Title

Staff Pharmacist

Phone

(817) 408-0417

Specialties & licenses 1

Addresses

Other names 1

• Hero Home Delivery & Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1366928780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 LAKE SHORE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442042",
            "telephone_number": "817-408-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 COLUMBIA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752145506",
            "telephone_number": "817-408-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MILLENNIUM ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "BALUYOT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "817-408-0417"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "32030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hero Home Delivery & Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaza Corporation
• Elsy Jazily-Joy
• JBH Health Services
• Jbutlermdphd PLLC
• Jbwelsh PLLC
• JC Rapha Medical Management Group
• JC Yabraian, M.D., P.a.
• Jchhs, Inc
• JCS Lake Highlands Operations LP
• JD Business Solutions, LLC

• Long Term Care Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.