Active NPI
Jjja Inc
- Community/Retail Pharmacy
- Encino, CA
National Provider Identifier
1376678359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JJJA INC
- Practice address
- 16550 Ventura Blvd Ste 100
Encino, CA 91436-2010 - Phone
- (818) 990-5100
- Fax
- (818) 990-4613
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean-Paul Abcar
- Title
- Owner
- Phone
- (818) 990-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
16550 Ventura Blvd Ste 100
Encino, CA 91436-2010
Mailing address
PO Box 260944
Encino, CA 91426-0944
Phone (818) 990-5100
Other names 1
- Rubio Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240719000949 | CA | Part B Supplier - Pharmacy | 1850837493 | Practice locations: Encino, CA |
| O20251119001420 | CA | DME Supplier - Pharmacy | 1850837493 | Practice locations: Encino, CA |
National Provider Directory
National Provider DirectoryLocations
16550 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 990-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1376678359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260944",
"city": "ENCINO",
"state": "CA",
"postal_code": "914260944",
"telephone_number": "818-990-5100",
"fax_number": "818-990-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16550 VENTURA BLVD STE 100",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362010",
"telephone_number": "818-990-5100",
"fax_number": "818-990-4613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JJJA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A",
"authorized_official_last_name": "ABCAR",
"authorized_official_first_name": "JEAN-PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-990-5100"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rubio Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.