Organization Active NPI

Jajco Inc.

Doing business as Anchor Drugs III

  • Community/Retail Pharmacy
  • South San Francisco, CA
National Provider Identifier
1427297498
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48787 Issued in CA
Legal business name
JAJCO INC.
Doing business as
Anchor Drugs III
Practice address
161 S Spruce Ave
South San Francisco, CA 94080-4517
Phone
(650) 360-5357
Fax
(650) 360-5301
NPI assigned
Feb 13, 2009
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Raymond Paul Jajeh, RPH
Title
Owner/Pharmacist
Phone
(650) 360-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48787 CA Primary

Addresses

Primary practice location

161 S Spruce Ave
South San Francisco, CA 94080-4517

Mailing address

161 S Spruce Ave
South San Francisco, CA 94080-4517
Phone (650) 360-5357

Other identifiers 2

IdentifierTypeStateIssuer
PHA487870MedicaidCA
PHY48787OtherCABOARD OF PHARMACY LICENSE

Other names 1

  • Anchor Drugs III Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930057682 CA DME Supplier - Pharmacy 8426136854 Practice locations: S San Fran, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1096670Anchor Drugs III161 S Spruce Ave, South San Francisco, CA 94080Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

730 Woodside Rd
Redwood City, CA 94061
Phone (650) 368-8800

161 S Spruce Ave
South San Francisco, CA 94080
Phone (650) 360-5300

481 Grand Ave
South San Francisco, CA 94080
Phone (650) 588-3812

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1427297498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S SPRUCE AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804517",
            "telephone_number": "650-360-5357",
            "fax_number": "650-360-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S SPRUCE AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804517",
            "telephone_number": "650-360-5357",
            "fax_number": "650-360-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAJCO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "JAJEH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "650-360-5300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA487870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "PHY48787",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Drugs III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.