Organization Active NPI

Jjja Inc

  • Community/Retail Pharmacy
  • Encino, CA
National Provider Identifier
1376678359
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Apr 1, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.