NPIMap

Organization Active NPI

Jays Hunting Park Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1689028631
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482639 Issued in PA
Legal business name
JAYS HUNTING PARK PHARMACY LLC
Doing business as
Jay's Hunting Park Pharmacy
Practice address
2001 W Hunting Park Ave
Philadelphia, PA 19140-2813
Phone
(215) 226-0140
Fax
(215) 226-2520
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Jarrod MacklinNPI 1558727313
Title
President/Pharmacist
Phone
(215) 410-4545

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 PP482639 PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2001 W Hunting Park Ave
Philadelphia, PA 19140-2813

Mailing address

2001 W Hunting Park Ave
Philadelphia, PA 19140-2813
Phone (215) 410-4545

Other identifiers 1

IdentifierTypeStateIssuer
2159141OtherPK

Other names 1

  • Jay's Hunting Park Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2001 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 226-0140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1689028631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402813",
            "telephone_number": "215-410-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402813",
            "telephone_number": "215-226-0140",
            "fax_number": "215-226-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYS HUNTING PARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "215-410-4545"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482639",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay's Hunting Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

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