Organization Active NPI

Jemas LLC

  • Community/Retail Pharmacy
  • Saint Charles, MO
National Provider Identifier
1588096010
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2006021562 Issued in MO
Legal business name
JEMAS LLC
Practice address
488 S 5TH St
Saint Charles, MO 63301-2633
Phone
(636) 949-5593
Fax
(636) 949-3118
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Justin Jemas
Title
Owner
Phone
(636) 949-5593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2006021562 MO Primary

Addresses

Primary practice location

488 S 5TH St
Saint Charles, MO 63301-2633

Mailing address

488 S 5TH St
Saint Charles, MO 63301-2633
Phone (636) 949-5593

Other identifiers 1

IdentifierTypeStateIssuer
2141767OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170403001287 MO Part B Supplier - Mass Immunization (Roster Biller Only) 3577848654 Practice locations: Saint Charles, MO
O20170801001793 MO DME Supplier - Pharmacy 3577848654 Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory
Tax ID family
Jemas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

488 S 5th St
Saint Charles, MO 63301
Phone (636) 203-5883

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1588096010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 S 5TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012633",
            "telephone_number": "636-949-5593",
            "fax_number": "636-949-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 S 5TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012633",
            "telephone_number": "636-949-5593",
            "fax_number": "636-949-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "JEMAS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-949-5593"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2006021562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.