Jay - Kishun Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27034 Issued in TX

Legal business name

JAY - KISHUN ENTERPRISE INC

Doing business as

Green Cross Pharmacy

Practice address

1305 Airport Fwy Ste 110
Bedford, TX 76021-6603

Phone

(817) 354-7771

Fax

(817) 354-8771

NPI assigned

Aug 17, 2010

Last updated

Sep 19, 2025By 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

Kamlesh Kurani

Title

President

Phone

(817) 690-1374

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• GREEN CROSS PHARMACY Doing business as

Tax ID family

Green Cross Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Jay Kishun Enterprise Inc

  dba Ridgmar Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1427238856
  NPD tax ID
• Jay-Kishun Enterprise, Inc.

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1891753133
  NPD tax ID

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1629383419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 110",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216603",
            "telephone_number": "817-354-7771",
            "fax_number": "817-354-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 110",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216603",
            "telephone_number": "817-354-7771",
            "fax_number": "817-354-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY - KISHUN ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "KURANI",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-690-1374"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27034",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126284",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREEN CROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bedford, TX
• Providers in Bedford, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.