JSK RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23823 Issued in FL

Legal business name

JSK RX LLC

Doing business as

Valrico Pharmacy

Practice address

2224 E State Road 60
Valrico, FL 33594-3703

Phone

(813) 681-7800

Fax

(813) 681-7833

NPI assigned

Jan 23, 2009

Last updated

Mar 17, 2017By 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

Parag ShahNPI 1265015895

Title

Owner

Phone

(813) 681-7800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Valrico Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parag Shah

  • Pharmacist
  • Valrico, FL
  • NPI 1265015895
  NPD Authorized official

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1558509950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 E STATE ROAD 60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943703",
            "telephone_number": "813-681-7800",
            "fax_number": "813-681-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 E STATE ROAD 60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943703",
            "telephone_number": "813-681-7800",
            "fax_number": "813-681-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSK RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-681-7800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valrico Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iesha Ann Jordan
• Jolly Cyril Jose, MD
• Alexander Joseph
• Driana Sabrina Josi
• Jream Healthcare LLC
• Michelle L Judah, DO
• Chadwick Jumao-As
• Tisheila Sharee Justice, LCSW
• Parag Kadiwar
• Craig Andrew Kalik, M.D.

• Community/Retail Pharmacy in Valrico, FL
• Providers in Valrico, FL by specialty
• Community/Retail Pharmacy in Florida

• 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.