JS Capital Group

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51429 Issued in CA

Legal business name

JS CAPITAL GROUP

Doing business as

Brookvale Medical Center Pharmacy

Practice address

2089 Vale Rd Ste 31
San Pablo, CA 94806-3850

Phone

(510) 235-4443

Fax

(510) 235-5527

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Joshua Speck

Title

President/Pharmacist

Phone

(510) 235-4443

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Brookvale Medical Center Pharmacy Doing business as

Tax ID family

JS Capital Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JS Capital Group

  dba Brookvale Pharmacy LTC

  • Long Term Care Pharmacy
  • San Pablo, CA
  • NPI 1902554991
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• JS Capital Group

  dba Brookvale Pharmacy LTC

  • Long Term Care Pharmacy
  • San Pablo, CA
  • NPI 1902554991
  NPPES parent name

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1720426893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 31",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063850",
            "telephone_number": "510-235-4443",
            "fax_number": "510-235-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 31",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063850",
            "telephone_number": "510-235-4443",
            "fax_number": "510-235-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS CAPITAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SPECK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "510-235-4443"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA58162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookvale Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookvale Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul B Johnson, PHARM.D
• Shana Johnson, ACSW
• David Todd Jones
• Dean T. Jones, LCSW
• Joshua Benjamin Rosales DDS Inc
• JS Capital Group (Brookvale Pharmacy LTC)
• Julio a. Gonzales Family Therapist Ap Corp
• Roopa Kapadia, MPHARM
• Jamy Renee Kappel
• Ernest Ivan Katler, M.D.

• Community/Retail Pharmacy in San Pablo, CA
• Providers in San Pablo, 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 Jan 24, 2022; 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.