J S Vitamins and More Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016342 Issued in IL

Legal business name

J S VITAMINS AND MORE INC

Doing business as

Hawthorne Health and Pharmacy

Practice address

4785 W Cermatz
Circero, IL 60804

Phone

(708) 656-1917

Fax

(708) 656-1919

NPI assigned

Dec 13, 2007

Last updated

Oct 8, 2010By 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

Jack Bleichman

Title

Owner

Phone

(708) 656-1917

Specialties & licenses 2

Addresses

Other names 1

• HAWTHORNE HEALTH AND PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1437332467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 W CERMATZ",
            "city": "CIRCERO",
            "state": "IL",
            "postal_code": "60804",
            "telephone_number": "708-656-1917",
            "fax_number": "708-656-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 W CERMATZ",
            "city": "CIRCERO",
            "state": "IL",
            "postal_code": "60804",
            "telephone_number": "708-656-1917",
            "fax_number": "708-656-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S VITAMINS AND MORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BLEICHMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-656-1917"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAWTHORNE HEALTH AND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.