Organization Active NPI

McJele Ventures, Inc.

  • Clinic/Center
  • Paris, TX
National Provider Identifier
1679877435
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27310 Issued in TX
Legal business name
MCJELE VENTURES, INC.
Practice address
1021 S Collegiate Dr
Paris, TX 75460-6309
Phone
(903) 905-4961
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Imeine A. Ukhun, PHARM.D.
Title
Owner/Pharmacist-in-Charge
Phone
(903) 905-4961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27310 TX Primary

Addresses

Primary practice location

1021 S Collegiate Dr
Paris, TX 75460-6309

Mailing address

1021 S Collegiate Dr
Paris, TX 75460-6309
Phone (903) 905-4961

National Provider Directory

National Provider Directory

Locations

1021 S Collegiate Dr
Paris, TX 75460
Phone (903) 905-4961

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1679877435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606309",
            "telephone_number": "903-905-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606309",
            "telephone_number": "903-905-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCJELE VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "UKHUN",
        "authorized_official_first_name": "IMEINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "903-905-4961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "27310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.