Jupiter Compounding LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH28425 Issued in FL

Legal business name

JUPITER COMPOUNDING LLC

Doing business as

Jupiter Pharmacy

Practice address

155 Toney Penna Dr Ste 1B
Jupiter, FL 33458-5746

Phone

(561) 203-8589

Fax

(561) 203-5153

NPI assigned

Oct 9, 2014

Last updated

Mar 9, 2017By 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

Raj Data

Title

Owner/President/Ao

Phone

(561) 203-8589

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jupiter Pharmacy Doing business as

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1841694510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TONEY PENNA DR",
            "address_2": "SUITE 1B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585746",
            "telephone_number": "561-203-8589",
            "fax_number": "561-406-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TONEY PENNA DR STE 1B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585746",
            "telephone_number": "561-203-8589",
            "fax_number": "561-203-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "DATA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/AO",
        "authorized_official_telephone_number": "561-203-8589"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH28425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jupiter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jupiter Chiropractic PLLC (Arise Neuromuscular)
• Jupiter Concierge Family Practice
• Jupiter Dental Group, PA
• Jupiter Drugs LLC (Jupiter Drugs)
• Jupiter Efl Imaging Center LLC (Jupiter Open Imaging Center)
• Jupiter Emergency Medical Specialist Inc

• Compounding Pharmacy in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.