Organization Active NPI

J2SB LLC

  • Community/Retail Pharmacy
  • Bloomingdale, IL
National Provider Identifier
1699389890
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
J2SB LLC
Practice address
398 W Army Trail Rd Ste 120
Bloomingdale, IL 60108-2398
Phone
(847) 610-5169
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Jignesh Gandhi, BPHARM
Title
Owner
Phone
(847) 610-5169

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

398 W Army Trail Rd Ste 120
Bloomingdale, IL 60108-2398

Mailing address

398 W Army Trail Rd Ste 120
Bloomingdale, IL 60108-2398
Phone (847) 610-5169

Other names 1

  • Rana-Reagan Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210408000398 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3476960543 Practice locations: Bloomingdale, IL
O20250109003160 IL Part B Supplier - Independent Clinical Laboratory 3476960543 Practice locations: Bloomingdale, IL

National Provider Directory

National Provider Directory

Locations

398 W Army Trail Rd
Ste 120
Bloomingdale, IL 60108
Phone (847) 610-5169

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1699389890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 W ARMY TRAIL RD STE 120",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082398",
            "telephone_number": "847-610-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 W ARMY TRAIL RD STE 120",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082398",
            "telephone_number": "847-610-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J2SB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-610-5169",
        "authorized_official_credential": "BPHARM"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rana-Reagan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rana-Reagan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.