Organization Active NPI

Jike LLC

  • Long Term Care Pharmacy
  • Vancouver, WA
National Provider Identifier
1851118558
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JIKE LLC
Practice address
8600 E Mill Plain Blvd Ste a
Vancouver, WA 98664-2055
Phone
(360) 583-4633
Fax
(360) 258-0597
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Iheke O Ekeya, PHARM.DNPI 1669746780
Title
Pharmacist
Phone
(360) 583-4633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

8600 E Mill Plain Blvd Ste a
Vancouver, WA 98664-2055

Mailing address

8600 E Mill Plain Blvd Ste a
Vancouver, WA 98664-2055
Phone (360) 583-4633

Other names 1

  • Square Care Medical & Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jike LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8600 E Mill Plain Blvd
Ste A
Vancouver, WA 98664
Phone (360) 583-4633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1851118558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 E MILL PLAIN BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642055",
            "telephone_number": "360-583-4633",
            "fax_number": "360-258-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E MILL PLAIN BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642055",
            "telephone_number": "360-583-4633",
            "fax_number": "360-258-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "EKEYA",
        "authorized_official_first_name": "IHEKE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "360-583-4633",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Square Care Medical & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.