Jollys Drug Store Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

JOLLYS DRUG STORE INC

Practice address

762 Boston Post Rd
Madison, CT 06443-3047

Phone

(203) 245-2704

Fax

(203) 245-9704

NPI assigned

Jun 8, 2006

Last updated

Sep 11, 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

Robert Genesius, RPH

Title

Owner

Phone

(203) 245-2704

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669412318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064430151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 BOSTON POST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433047",
            "telephone_number": "203-245-2704",
            "fax_number": "203-245-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLYS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GENESIUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-245-2704",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "0725",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0704759",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Dean Nutrition, LLC
• JLB Therapy LLC
• Jmstherapeutics
• Joann D Guay, LLC
• Danielle Johnson
• Jonathan C. Allen MD
• Judith M Jorgensen
• Nikole Kaizer, M.S., B.C.B.A
• Joseph Robert Kalinowski, DC
• Douglas George Kane

• Long Term Care Pharmacy in Madison, CT
• Providers in Madison, CT by specialty
• Long Term Care Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.