Organization Active NPI

Jane's Pharmacy, LLC

  • Community/Retail Pharmacy
  • Munfordville, KY
National Provider Identifier
1710410022
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JANE'S PHARMACY, LLC
Practice address
950 Main St
Suite 100
Munfordville, KY 42765-9435
Phone
(615) 525-3142
NPI assigned
Apr 4, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Navas Yoonus
Title
Ceo
Phone
(615) 525-3142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

950 Main St
Suite 100
Munfordville, KY 42765-9435

Mailing address

950 Main St
Suite 100, PO Box 215
Munfordville, KY 42765-9435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200514001175 KY DME Supplier - Pharmacy 0244661890 Practice locations: Munfordville, KY
O20200516000029 KY Part B Supplier - Pharmacy 0244661890 Practice locations: Munfordville, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Janes Pharmacy950 Main St, Munfordville, KY 42765-9435(270) 524-1210 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 11, 2020

National Provider Directory

National Provider Directory

Locations

950 Main St
Ste 100
Munfordville, KY 42765
Phone (615) 525-3142

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1710410022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "address_2": "SUITE 100, PO BOX 215",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "address_2": "SUITE 100",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659435",
            "telephone_number": "615-525-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "YOONUS",
        "authorized_official_first_name": "NAVAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-525-3142"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munfordville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.