Sanjay Sureshchandra Jain

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302040189 Issued in MI

Practice address

11801 N Saginaw St
Mount Morris, MI 48458-1503

Phone

(810) 686-7106

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 07736

  • Community/Retail Pharmacy
  • Mount Morris, MI
  • NPI 1831208321
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1447743109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 FOX HILL DR APT 6",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395206",
            "telephone_number": "248-773-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 N SAGINAW ST",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581503",
            "telephone_number": "810-686-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SANJAY",
        "middle_name": "SURESHCHANDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah James Hill
• Toquilla Hudson
• Justin Damrious Irvin
• Mitchell Irwin
• Brian Thomas Jacobs, R.PH.
• James R Williams DDS PC
• Khelsey Jefferson, B.S. PSYCHOLOGY
• Jerry D. McClane, D.C.,P.C.
• Cierra Jobson
• Cheynne Johnson

• Pharmacist in Mount Morris, MI
• Providers in Mount Morris, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.