NPIMap

Organization Active NPI

Jay-Kishun Enterprise, Inc.

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1891753133
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23101 Issued in TX
Legal business name
JAY-KISHUN ENTERPRISE, INC.
Practice address
4504 Boat Club Rd
#200
Fort Worth, TX 76135-7003
Phone
(817) 237-7877
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Kamlesh Kurani
Title
Owner Pharmacist
Phone
(817) 237-7877

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 23101 TX
Pharmacy 333600000X 23101 TX
Community/Retail Pharmacy 3336C0003X 23101 TX Primary

Addresses

Primary practice location

4504 Boat Club Rd
#200
Fort Worth, TX 76135-7003

Mailing address

4504 Boat Club Rd
#200
Fort Worth, TX 76135-7003
Phone (817) 237-7877

National Provider Directory

National Provider Directory
Tax ID family
Green Cross Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4504 Boat Club Rd
Ste 200
Fort Worth, TX 76135
Phone (817) 237-7877

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1891753133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 BOAT CLUB RD",
            "address_2": "#200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357003",
            "telephone_number": "817-237-7877",
            "fax_number": "817-237-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 BOAT CLUB RD",
            "address_2": "#200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357003",
            "telephone_number": "817-237-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY-KISHUN ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "KURANI",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "817-237-7877"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "23101",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "23101",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.