JRVS LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413456L Issued in PA

Legal business name

JRVS LLC

Doing business as

Nu Way Pharmacy

Practice address

1639 Haines Rd
Levittown, PA 19055-1803

Phone

(215) 547-0250

Fax

(215) 547-0202

NPI assigned

Jun 22, 2005

Last updated

Dec 7, 2022By 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

Jignesh Patel, MS RPHNPI 1417181843

Title

Pharmacy Manager

Phone

(215) 547-0250

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• NU WAY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

JRVS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JRVS LLC

  • Long Term Care Pharmacy
  • Levittown, PA
  • NPI 1386594349
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• JRVS LLC

  • Long Term Care Pharmacy
  • Levittown, PA
  • NPI 1386594349
  NPPES parent name

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.

• Jignesh Patel

  • Pharmacist
  • Levittown, PA
  • NPI 1417181843
  NPD Authorized official

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1700882057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 HAINES RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551803",
            "telephone_number": "215-547-0250",
            "fax_number": "215-547-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 HAINES RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551803",
            "telephone_number": "215-547-0250",
            "fax_number": "215-547-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-547-0250",
        "authorized_official_credential": "MS RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413456L",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029410500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NU WAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NU WAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy J Jolley, DMD
• Jonathan W. McCullough, DCPC
• Michael Brian Jordan, PH. D.
• Christina M Josephs
• JRVS LLC
• Jill R Kane, D.O.
• John T Kane, DO
• Megan C Kane, D.O.
• William T Kane, DMD
• Francis Kazmierczak, DMD

• Community/Retail Pharmacy in Levittown, PA
• Providers in Levittown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.