Jdub Pharma

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY56114 Issued in CA

Legal business name

JDUB PHARMA

Doing business as

The Medicine Shoppe #387

Practice address

2611 E Thompson Blvd
Suite 103
Ventura, CA 93003

Phone

(805) 648-2724

Fax

(805) 648-7562

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Carlos Varela

Title

Manager

Phone

(805) 648-2724

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe #387 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jill Bell

  • Pharmacist
  • Ventura, CA
  • NPI 1275929044
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700958584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 E THOMPSON BLVD",
            "address_2": "SUITE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032743",
            "telephone_number": "805-648-2724",
            "fax_number": "805-648-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 E THOMPSON BLVD",
            "address_2": "SUITE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-648-2724",
            "fax_number": "805-648-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDUB PHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VARELA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-648-2724"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY56114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0582189",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700958584",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe #387",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe #387",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pejman Javaheri, PHARMD
• Naila Khatija Javaid
• Julia M Kirstine Javate, DO
• Megan Jay
• JD Ross DDS Inc
• Jean Lampert Marriage & Family Therapy Inc
• Ashlyn Jeffery
• Jeffrey a Leonard MD
• Jeffrey K. Luttrull, M. D. a Professional Corporation
• Jeffrey King, MD, a Professional Corporation

• Community/Retail Pharmacy in Ventura, CA
• Providers in Ventura, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.