NPIMap

Organization Active NPI

KJL Consultants Inc

Doing business as Luke's Yreka Drug

  • Community/Retail Pharmacy
  • Yreka, CA
National Provider Identifier
1659663714
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50715 Issued in CA
Legal business name
KJL CONSULTANTS INC
Doing business as
Luke's Yreka Drug
Practice address
829 S Main St
Yreka, CA 96097-3320
Phone
(530) 842-2600
Fax
(530) 842-5173
NPI assigned
May 9, 2011
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Lucas WalshNPI 1679039614
Title
President
Phone
(530) 842-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY50715 CA Primary

Addresses

Primary practice location

829 S Main St
Yreka, CA 96097-3320

Mailing address

829 S Main St
Yreka, CA 96097-3320
Phone (530) 842-2600

Other identifiers 2

IdentifierTypeStateIssuer
1659663714MedicaidCA
2130276OtherPK

Other names 1

  • Luke's Yreka Drug Doing business as

National Provider Directory

National Provider Directory

Locations

829 S Main St
Yreka, CA 96097
Phone (530) 339-1444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1659663714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 S MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973320",
            "telephone_number": "530-842-2600",
            "fax_number": "530-842-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973320",
            "telephone_number": "530-842-2600",
            "fax_number": "530-842-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-842-2600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659663714",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luke's Yreka Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.