JLT Pharmventure Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PENDING Issued in CA

Legal business name

JLT PHARMVENTURE INC

Practice address

843 Auto Center Dr
Suite C
Palmdale, CA 93551-4489

Phone

(661) 224-9317

NPI assigned

Mar 20, 2009

Organization subpart

No

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

Authorized official

Name

John Tham

Title

Ceo

Phone

(661) 224-9317

Specialties & licenses 1

Addresses

Other names 1

• PALMDALE DRUGSTORE Doing business as

Locations

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1669613683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 AUTO CENTER DR",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514489",
            "telephone_number": "661-224-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 AUTO CENTER DR",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514489",
            "telephone_number": "661-224-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLT PHARMVENTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "THAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-224-9317"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMDALE DRUGSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.