Individual provider Active NPI

John Arimon Jackop Eshak, RPH

  • Pharmacist
  • Riverside, CA
National Provider Identifier
1376136275
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
82763 Issued in CA
Practice address
9194 Magnolia Ave
Riverside, CA 92503-3872
Phone
(951) 977-8667
NPI assigned
Feb 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 82763 CA Primary

Addresses

Primary practice location

9194 Magnolia Ave
Riverside, CA 92503-3872

Mailing address

515 Hayes Cir
Corona, CA 92879-1160
Phone (951) 768-2437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bahaa Girgis, M.D., Inc CurrentSince Feb 14, 2021 Accepting new patients
3E Pharmacy Inc PastSince Feb 14, 2021 Accepting new patients

Locations

9194 Magnolia Ave
Riverside, CA 92503
Phone (951) 352-2421

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1376136275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HAYES CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791160",
            "telephone_number": "951-768-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033872",
            "telephone_number": "951-977-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOP ESHAK",
        "first_name": "JOHN ARIMON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.