Organization Active NPI

Jana Pharmacy Inc.

Doing business as jana pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1871777094
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481768 Issued in PA
Legal business name
JANA PHARMACY INC.
Doing business as
jana pharmacy
Practice address
413 East Wyoming Ave
Philadelphia, PA 19120
Phone
(215) 324-7040
Fax
(215) 324-7045
NPI assigned
Dec 24, 2007
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Mr. Saiful Islam, RPHNPI 1972714731
Title
Owner & RPH
Phone
(215) 324-7040

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
Community/Retail Pharmacy 3336C0003X PP481768 PA Primary

Addresses

Primary practice location

413 East Wyoming Ave
Philadelphia, PA 19120

Mailing address

413 East Wyoming Ave
Philadelphia, PA 19120
Phone (215) 324-7040

Other identifiers 1

IdentifierTypeStateIssuer
1020520360001MedicaidPA

Other names 1

  • jana pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

413 E Wyoming Ave
Philadelphia, PA 19120
Phone (215) 324-7040

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1871777094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 EAST WYOMING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-324-7040",
            "fax_number": "215-324-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 EAST WYOMING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-324-7040",
            "fax_number": "215-324-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "SAIFUL",
        "authorized_official_title_or_position": "OWNER & RPH",
        "authorized_official_telephone_number": "215-324-7040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020520360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jana pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.