JGS Pharmacies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45936 Issued in CA

Legal business name

JGS PHARMACIES INC

Practice address

1055 W College Ave
Santa Rosa, CA 95401-5059

Phone

(707) 575-1313

Fax

(707) 575-0104

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mark GuttormsenNPI 1023600376

Title

V.P., Owner, Pic

Phone

(707) 575-1313

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• DOLLAR DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Allen Guttormsen, PHARMD.

  • Pharmacist
  • Santa Rosa, CA
  • NPI 1023600376
  NPD Authorized official
• Franco Scott Franca, RPH

  • Pharmacist
  • Santa Rosa, CA
  • NPI 1437746880
  NPD
• Taryn Alexis Altman, PHARM.D.

  • Pharmacist
  • Novato, CA
  • NPI 1841546942
  NPD (past)
• Francisco Azevedo, PHARM.D.

  • Pharmacist
  • Santa Rosa, CA
  • NPI 1215187315
  NPD (past)
• Amy Lee Hawkins, PHARM.D.

  • Pharmacist
  • Santa Rosa, CA
  • NPI 1689835373
  NPD (past)
• Jason M Lund, PHARM.D.

  • Pharmacist
  • Kentfield, CA
  • NPI 1871913871
  NPD (past)
• Stephanie Dung Ly, PHARMD

  • Pharmacist
  • Santa Rosa, CA
  • NPI 1306676457
  NPD (past)
• Steve Smith, PHARMD

  • Pharmacist
  • Santa Rosa, CA
  • NPI 1780136283
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1538166384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W COLLEGE AVE",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015059",
            "telephone_number": "707-575-1313",
            "fax_number": "707-575-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W COLLEGE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015059",
            "telephone_number": "707-575-1313",
            "fax_number": "707-575-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "GUTTORMSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "V.P., OWNER, PIC",
        "authorized_official_telephone_number": "707-575-1313"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45936",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005225",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA429030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOLLAR DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne Jerome, PHARMD
• Dale G Jewell, RPH
• Jewish Community Free Clinic
• Jewish Family and Children'S Services
• Jewish Family and Children'S Services
• Allison Jhin, DO
• Tingjen Ji, DDS, MSD
• Anthony Jiang
• Jill Applegate Marriage and Family Therapy, Inc.
• Mariana Jimenez Hernandez

• Community/Retail Pharmacy in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.