Junior Foods Stores of West Flordia Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PJ22889 Issued in FL

Legal business name

JUNIOR FOODS STORES OF WEST FLORDIA INC

Doing business as

Kroger Pharmacy #125

Practice address

2990 S Blue Angel Pkwy
Pensacola, FL 32506-6905

Phone

(850) 457-2465

Fax

(850) 457-2681

NPI assigned

Sep 14, 2007

Last updated

May 16, 2016By 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

Allison Muennich

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1019

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KROGER PHARMACY #125 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Pickerington, OH
  • NPI 1245255967

  Member Of

  NPD member

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.

• Bahman A. Javan, PHARM. D

  • Pharmacist
  • Pensacola, FL
  • NPI 1265565717
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1699961441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842772",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022842772",
            "telephone_number": "513-762-1019",
            "fax_number": "513-762-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 S BLUE ANGEL PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066905",
            "telephone_number": "850-457-2465",
            "fax_number": "850-457-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIOR FOODS STORES OF WEST FLORDIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MUENNICH",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY LICENSING",
        "authorized_official_telephone_number": "513-762-1019"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PJ22889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032374800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2009800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KROGER PHARMACY #125",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JTJ Medical Supply, Inc. (Mail-Meds Clinical Pharmacy)
• Daniel Richard Juba, MD
• Rebecca Judkins, OTR/L
• Donna S Judson, M.D.
• Kathrine M Judycki, PHARMD
• Just Companion Care LLC
• Brittany Justice, ARNP
• Kelly Meek Justice, PH.D.
• Justin L. Shields MD PA
• Ka'Dira Carey (Trusted Coneections Therapeutic Services)

• Community/Retail Pharmacy in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.