Jai Geerdhar LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JAI GEERDHAR LLC

Practice address

359 Dodd Blvd SE
Rome, GA 30161-6600

Phone

(706) 266-1800

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Bhavik Kumbhare

Title

Owner

Phone

(706) 622-2564

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FLOYD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1619542016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 DODD BLVD SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 DODD BLVD SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616600",
            "telephone_number": "706-266-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI GEERDHAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "KUMBHARE",
        "authorized_official_first_name": "BHAVIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-622-2564"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003253793A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOYD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLOYD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cline Thomas Jackson, M.D.
• Kelsea Artesse Jackson
• Lethecia Jackson, MPT
• Michael S Jackson, MD
• Teri Danielle Jackson, NP-C
• James H Hudson, Jr, DMD, P.C.
• Malorie Hope James
• Nyla Lieu James, PA
• Beatrice Jarvis, OTRL
• Raymond Roderick Jarvis, MD

• Community/Retail Pharmacy in Rome, GA
• Providers in Rome, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.