Organization Active NPI

John J Kotzur

Doing business as Jays City Pharmacy

  • Community/Retail Pharmacy
  • Karnes City, TX
National Provider Identifier
1841375136
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6417 Issued in TX
Legal business name
JOHN J KOTZUR
Doing business as
Jays City Pharmacy
Practice address
214 E Calvert Ave
Karnes City, TX 78118-3210
Phone
(830) 780-2224
Fax
(830) 780-2404
NPI assigned
Oct 26, 2006
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
John Kotzur, PHRM
Title
Owner
Phone
(830) 780-2224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 6417 TX Primary

Addresses

Primary practice location

214 E Calvert Ave
Karnes City, TX 78118-3210

Mailing address

214 E Calvert Ave
Karnes City, TX 78118-3210
Phone (830) 780-2224

Other identifiers 2

IdentifierTypeStateIssuer
142209MedicaidTX
2102511OtherPK

Other names 1

  • JAYS CITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

214 E Calvert Ave
Karnes City, TX 78118
Phone (830) 780-2224

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1841375136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E CALVERT AVE",
            "city": "KARNES CITY",
            "state": "TX",
            "postal_code": "781183210",
            "telephone_number": "830-780-2224",
            "fax_number": "830-780-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E CALVERT AVE",
            "city": "KARNES CITY",
            "state": "TX",
            "postal_code": "781183210",
            "telephone_number": "830-780-2224",
            "fax_number": "830-780-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J KOTZUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "KOTZUR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-780-2224",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142209",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAYS CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Karnes City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.