Active NPI
Jajco Inc.
Doing business as Anchor Drugs III
- Community/Retail Pharmacy
- South San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48787
- 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, 2025
- 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
- Raymond Paul Jajeh, RPH
- Title
- Owner/Pharmacist
- Phone
- (650) 360-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA487870 | Medicaid | CA | |
| PHY48787 | Other | CA | BOARD OF PHARMACY LICENSE |
Other names 1
- Anchor Drugs III
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057682 | CA | DME Supplier - Pharmacy | 8426136854 | Practice locations: S San Fran, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1096670 | Anchor Drugs III | Certificate of waiver | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- South San Francisco, CA
- NPI 1902063084
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.