JJS Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

47312 Issued in CA

Legal business name

JJS PHARMACY LLC

Doing business as

JJS Pharmacy

Practice address

21010 Golden Springs Dr
Diamond Bar, CA 91789-3831

Phone

(909) 595-4003

Fax

(909) 598-2161

NPI assigned

Oct 10, 2006

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Lee, RPH

Title

Owner

Phone

(909) 595-4003

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• JJS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pay and Save Inc

  dba Lowes Marketplace Pharmacy

  • Community/Retail Pharmacy
  • Kermit, TX
  • NPI 1487714622

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyung Ah Kim

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Diamond Bar, CA
  • NPI 1144677543
  NPD (past)
• So Mee Kwon

  • Pharmacist
  • Los Angeles, CA
  • NPI 1457071623
  NPD (past)
• Jeeeun Song

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Los Angeles, CA
  • NPI 1134721087
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1750478665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21010 GOLDEN SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893831",
            "telephone_number": "909-595-4003",
            "fax_number": "909-595-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21010 GOLDEN SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893831",
            "telephone_number": "909-595-4003",
            "fax_number": "909-598-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-595-4003",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "47312",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA473120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JJS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• JMJ Therapea Corporation (JMJ Therapea Home Health Services)
• Joanne Leung D.D.S, a Professional Corp.
• John Tchaboukian DDS Inc (Diamond Bar Dental)
• Dollin Johnson
• Jong G Kim M.D. a Medical Corporation

• Community/Retail Pharmacy in Diamond Bar, CA
• Providers in Diamond Bar, 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 Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.