Organization Active NPI

JBRX

  • Community/Retail Pharmacy
  • Rochester, MI
National Provider Identifier
1730129487
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301001923 Issued in MI
Legal business name
JBRX
Practice address
340 S Main St
1
Rochester, MI 48307-2030
Phone
(248) 651-8511
Fax
(248) 651-5413
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Mr. John Blanchard, PHARMD
Title
Pic/Owner
Phone
(248) 651-8511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301001923 MI Primary

Addresses

Primary practice location

340 S Main St
1
Rochester, MI 48307-2030

Mailing address

340 S Main St
Rochester, MI 48307-2030
Phone (248) 651-8511

Other identifiers 2

IdentifierTypeStateIssuer
2041541OtherPK
2531863MedicaidMI

Other names 1

  • Lytle Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

340 S Main St
Rochester, MI 48307
Phone (248) 651-8511

340 S Main St
#1
Rochester, MI 48307
Phone (248) 651-8511

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1730129487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072030",
            "telephone_number": "248-651-8511",
            "fax_number": "248-651-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S MAIN ST",
            "address_2": "1",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072030",
            "telephone_number": "248-651-8511",
            "fax_number": "248-651-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "248-651-8511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301001923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041541",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2531863",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lytle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.