DJCC, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006875 Issued in MI

Legal business name

DJCC, INC.

Doing business as

The Medicine Shoppe #1263

Practice address

200 E Ayer St
Suite 2
Ironwood, MI 49938-2070

Phone

(906) 932-4500

Fax

(906) 932-6329

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By 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

Ms. Dylynn M Vanderschaegen, RPHNPI 1316057599

Title

Owner

Phone

(906) 932-4500

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• The Medicine Shoppe #1263 Doing business as

Locations

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.

• Dylynn M Vanderschaegen, RPH

  • Pharmacist
  • Ironwood, MI
  • NPI 1316057599
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669582839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E AYER ST",
            "address_2": "SUITE 2",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382070",
            "telephone_number": "906-932-4500",
            "fax_number": "906-932-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E AYER ST",
            "address_2": "SUITE 2",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382070",
            "telephone_number": "906-932-4500",
            "fax_number": "906-932-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJCC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDERSCHAEGEN",
        "authorized_official_first_name": "DYLYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-932-4500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3518033",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33285400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3518024",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe #1263",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jamie Leah Fiorucci, LMSW

• Community/Retail Pharmacy in Ironwood, MI
• Providers in Ironwood, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.