Jay-Kishun Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22047 Issued in TX

Legal business name

JAY-KISHUN ENTERPRISE INC

Doing business as

Ridgmar Pharmacy

Practice address

2524 Mall Cir
Ft Worth, TX 76116-1545

Phone

(817) 737-7377

Fax

(817) 737-7388

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Kamleshi Kurani

Title

Pic

Phone

(817) 737-7377

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RIDGMAR PHARMACY Doing business as

Locations

Practitioners 2

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

• Jay Mehta, PHARM D

  • Pharmacist
  • Fort Worth, TX
  • NPI 1699368944
  NPD (past)
• Indravadan Patel

  • Pharmacist
  • Fort Worth, TX
  • NPI 1740759240
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1710945381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 MALL CIR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761161545",
            "telephone_number": "817-737-7377",
            "fax_number": "817-737-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 MALL CIR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761161545",
            "telephone_number": "817-737-7377",
            "fax_number": "817-737-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY-KISHUN ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "KURANI",
        "authorized_official_first_name": "KAMLESHI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "817-737-7377"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145216",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIDGMAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureene Javier
• Wilfredo Javier
• Asra Jawed, M.D
• Jay G. Beckwith, D.O., P.a.
• Jay Kishun Enterprise Inc (Ridgmar Pharmacy)
• Jay-Kishun Enterprise, Inc.
• Celynn Jay
• Asha S Jayachandran, MD
• John Vijay Jayachandran, M.D.
• Hal Terry Jayson, MD

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.