JCB Laboratory LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

2-13016 Issued in KS

Legal business name

JCB LABORATORY LLC

Practice address

7335 W 33Rd St N
Wichita, KS 67205-9368

Phone

(316) 773-0405

Fax

(316) 773-0406

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Kent Richardson, PHARMD

Title

Coo

Phone

(316) 773-0405

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• JCB LABORATORIES Doing business as

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1730206103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 W 33RD ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059368",
            "telephone_number": "316-773-0405",
            "fax_number": "316-773-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W 33RD ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059368",
            "telephone_number": "316-773-0405",
            "fax_number": "316-773-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCB LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "316-773-0405",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KS",
            "license": "2-13016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCB LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Wichita, KS
• Providers in Wichita, KS by specialty
• Compounding Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.