Jlkgt Investments LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022452100 Issued in OH

Legal business name

JLKGT INVESTMENTS LLC

Doing business as

Kaup Pharmacy

Practice address

42 W Main St
Versailles, OH 45380-1214

Phone

(937) 526-3337

Fax

(937) 526-4118

NPI assigned

Oct 20, 2006

Last updated

Feb 20, 2017By 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

Jacquelyn BriscoeNPI 1639235146

Title

Owner

Phone

(937) 526-3337

Specialties & licenses 4

Addresses

Other names 1

• KAUP PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kaup Pharmacy Inc

  dba Kaup Pharmacy

  • Community/Retail Pharmacy
  • Fort Recovery, OH
  • NPI 1568465060

  O20090319000303

  Same enrollment
• Kaup Pharmacy Inc

  dba Kaup Pharmacy

  • Community/Retail Pharmacy
  • Union City, IN
  • NPI 1548342397

  O20090319000303

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 4

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.

• Jacquelyn Lee Briscoe, PHARM D

  • Pharmacist
  • Fort Recovery, OH
  • NPI 1639235146
  NPD Authorized official
• Jared Briscoe, PHARMD

  • Pharmacist
  • Versailles, OH
  • NPI 1730638859
  NPD (past)
• Dawn R Goodwin, RPH

  • Community/Retail Pharmacy
  • Fort Recovery, OH
  • NPI 1770645293
  NPD (past)
• Kevin E Subler, PD PHARMD

  • Pharmacist
  • Versailles, OH
  • NPI 1669720108
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1710069554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W MAIN ST",
            "city": "VERSAILLES",
            "state": "OH",
            "postal_code": "453801214",
            "telephone_number": "937-526-3337",
            "fax_number": "937-526-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W MAIN ST",
            "city": "VERSAILLES",
            "state": "OH",
            "postal_code": "453801214",
            "telephone_number": "937-526-3337",
            "fax_number": "937-526-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLKGT INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-526-3337"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022452100",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAUP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alec Heffner
• Christina Hess
• Danielle Marie Hesson
• Leah Lynn Hoelscher
• Kristin Hopf
• Alexis Jones
• Julia Anne Bowlin MD
• Erin L Keller, NP
• Robert C Klamar, MD
• Jon Anthony Kremer, D.C.

• Community/Retail Pharmacy in Versailles, OH
• Providers in Versailles, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.