Organization Active NPI

JNCN Holdings LLC

Doing business as Simmans Pharmacy

  • Community/Retail Pharmacy
  • Webster, TX
National Provider Identifier
1548528623
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26903 Issued in TX
Legal business name
JNCN HOLDINGS LLC
Doing business as
Simmans Pharmacy
Practice address
16842 Highway 3
Webster, TX 77598-2112
Phone
(832) 932-5747
Fax
(832) 932-5749
NPI assigned
Apr 26, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Conneka Neal
Title
Owner
Phone
(682) 422-3258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26903 TX Primary

Addresses

Primary practice location

16842 Highway 3
Webster, TX 77598-2112

Mailing address

2751 Vela
Grand Prairie, TX 75054-5538
Phone (682) 422-3258

Other identifiers 1

IdentifierTypeStateIssuer
5906106OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Simmans Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

16842 Highway 3
Webster, TX 77598
Phone (832) 932-5747

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1548528623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 VELA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750545538",
            "telephone_number": "682-422-3258",
            "fax_number": "682-422-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16842 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982112",
            "telephone_number": "832-932-5747",
            "fax_number": "832-932-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNCN HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "CONNEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-422-3258"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5906106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simmans Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.