JC Max Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49030 Issued in CA

Legal business name

JC MAX PHARMACY INC

Doing business as

ABC Pharmacy

Practice address

826 E Foothill Blvd
Rialto, CA 92376-5230

Phone

(909) 546-1000

Fax

(909) 546-1010

NPI assigned

Oct 22, 2008

Last updated

May 20, 2020By 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

Tony Chan, PHARMD

Title

Owner

Phone

(909) 946-5512

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ABC Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• JC Max Pharmacy Inc

  dba Abc Pharmacy

  • Community/Retail Pharmacy
  • Upland, CA
  • NPI 1528112174

  O20210204001740

  Same enrollment

Locations

Practitioners 2

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.

• Alyssa Tamura

  • Pharmacist
  • Rialto, CA
  • NPI 1952819773
  NPD (past)
• Jason Wee

  • Pharmacist
  • Rialto, CA
  • NPI 1649155250
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1780836676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765230",
            "telephone_number": "909-546-1000",
            "fax_number": "909-546-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765230",
            "telephone_number": "909-546-1000",
            "fax_number": "909-546-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MAX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-946-5512",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49030",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florence A Jackson, SOCIAL WORKER II
• Steven Eric Jackson, MFC52239
• Alma Rosa Jacobo
• Bozena Grazyna Janczar, DC
• JC Assisted Trans. Inc
• JC Park DDS Inc
• David Chih-Yuan Jen, D.D.S.
• Annette Allen Jenkins, LMFT
• Tisha Jenyo, LPT
• JH Kim Dental Professional Corp.

• Community/Retail Pharmacy in Rialto, CA
• Providers in Rialto, 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 May 20, 2020; 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.