Active NPI
Jemas LLC
- Community/Retail Pharmacy
- Saint Charles, MO
National Provider Identifier
1588096010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2006021562
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141767 | Other | PK |
Other names 1
- The Medicine Shoppe Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Saint Charles, MO
- NPI 1851283055
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.
-
- Pharmacist
- Saint Charles, MO
- NPI 1366075608
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.