Organization Active NPI

Mjrrx Inc

  • Community/Retail Pharmacy
  • Tunkhannock, PA
National Provider Identifier
1720093321
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415149L Issued in PA
Legal business name
MJRRX INC
Practice address
1 Kim Ave Ste 1
Tunkhannock, PA 18657-9101
Phone
(570) 836-6333
Fax
(570) 836-5214
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Mark Stamer
Title
Coowner Pharmacist
Phone
(570) 836-6333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP415149L PA Primary

Addresses

Primary practice location

1 Kim Ave Ste 1
Tunkhannock, PA 18657-9101

Mailing address

1 Kim Ave Ste 1
Tunkhannock, PA 18657-9101
Phone (570) 836-6333

Other identifiers 2

IdentifierTypeStateIssuer
1012478650001MedicaidPA
2083194OtherPK

Other names 1

  • LECHS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1720093321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 1",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-836-6333",
            "fax_number": "570-836-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 1",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-836-6333",
            "fax_number": "570-836-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJRRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "STAMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COOWNER PHARMACIST",
        "authorized_official_telephone_number": "570-836-6333"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415149L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012478650001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LECHS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.