Jeba Investments Group LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH24594 Issued in FL

Legal business name

JEBA INVESTMENTS GROUP LLC

Doing business as

Bay Discount Pharmacy

Practice address

8802 Rocky Creek Dr Ste 101
Tampa, FL 33615-4315

Phone

(813) 885-4000

Fax

(813) 885-4008

NPI assigned

May 12, 2010

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julius Ben-AcquaahNPI 1750388344

Title

Clinical Pharmacist

Phone

(813) 885-4000

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Bay Discount Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL3 enrollments

Enrollment records 3

Tax ID family

Bay Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeba Investments Group LLC

  dba Bay discount Pharmacy LTC

  • Long Term Care Pharmacy
  • Tampa, FL
  • NPI 1386498855
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julius Ben-Acquaah, PHARMD

  • Pharmacist
  • Tampa, FL
  • NPI 1750388344
  NPD Authorized official
• Ashok Vachhani

  • Pharmacist
  • Tampa, FL
  • NPI 1427288059
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1417275694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 ROCKY CREEK DR",
            "address_2": "#101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154315",
            "telephone_number": "813-885-4000",
            "fax_number": "813-885-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 ROCKY CREEK DR STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154315",
            "telephone_number": "813-885-4000",
            "fax_number": "813-885-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBA INVESTMENTS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BEN-ACQUAAH",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "813-885-4000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24594",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124954",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette Boston Alf
• Jeannette D Sims
• Alex Jeantinor
• Angeline Jeanty
• Jeba Investments Group LLC (Bay discount Pharmacy LTC)
• Dana Jedrick
• Michael Jeffers
• Gregory Jefferson, PT
• Joshua R Jefferson Sr.
• Kimberly L Jefferson

• Long Term Care Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.