Jaffe Drug Stores Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054001269 Issued in IL

Legal business name

JAFFE DRUG STORES INC

Practice address

217 E Court St
Kankakee, IL 60901-3824

Phone

(815) 933-3369

Fax

(815) 933-3380

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Frederick Jaffe, R.PH.

Title

Pharmacist in Charge

Phone

(815) 933-3369

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1477541019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013824",
            "telephone_number": "815-933-3369",
            "fax_number": "815-933-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013824",
            "telephone_number": "815-933-3369",
            "fax_number": "815-933-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFE DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "815-933-3369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054001269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "1406138",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.