Jai Maruti RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25157 Issued in FL

Legal business name

JAI MARUTI RX LLC

Practice address

9323 Lem Turner Rd
Jacksonville, FL 32208-2274

Phone

(904) 222-8490

Fax

(904) 222-8495

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Kavin PatelNPI 1902921158

Title

Pharmacy Manager

Phone

(904) 955-3460

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JAX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Tax ID family

Jai Maruti RX 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.

• Jai Maruti RX LLC

  • Long Term Care Pharmacy
  • Jacksonville, FL
  • NPI 1154962371
  NPD tax ID

Practitioners 1

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

• Kavin G Patel

  • Pharmacist
  • Jacksonville, FL
  • NPI 1902921158
  NPD Authorized official

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1881998938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9323 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082274",
            "telephone_number": "904-222-8490",
            "fax_number": "904-222-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9323 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082274",
            "telephone_number": "904-222-8490",
            "fax_number": "904-222-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI MARUTI RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAVIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "904-955-3460"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003296600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ashley Jagodnik
• Alireza Jahan-Mihan, PHD. RDN.
• Elizabeth Jahjah
• Nezar Jahjah, PHARM.D.
• Jai Maruti RX LLC
• Vishal Jaikaransingh, M.D.
• Jaime Marra, PHD, LLC
• Anik Jain, MD
• Ankur Jain, MD
• Crystal Morgan Jain, PT, DPT

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.