Active NPI
JBRX
- Community/Retail Pharmacy
- Rochester, MI
National Provider Identifier
1730129487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301001923
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041541 | Other | PK | |
| 2531863 | Medicaid | MI |
Other names 1
- Lytle Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.