Jlsco LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6909518-1703 Issued in UT

Legal business name

JLSCO LLC

Practice address

2645 N Washington Blvd
North Ogden, UT 84414

Phone

(801) 782-6116

Fax

(801) 782-7222

NPI assigned

Feb 28, 2007

Organization subpart

No

Name

Shari Badger

Title

Owner

Phone

(435) 774-4150

Organizations listed as members of this organization in the National Provider Directory.

• Lees Marketplace Inc

  • Community/Retail Pharmacy
  • Richmond, UT
  • NPI 1114630548

  Member Of

  NPD member

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

• Crystal Grimes

  • Pharmacist
  • Logan, UT
  • NPI 1790865574
  NPD
• Jeffrey Fowers, PHARMD

  • Pharmacist
  • North Ogden, UT
  • NPI 1578279048
  NPD (past)
• Dustin Kent Price, PHARMD

  • Pharmacist
  • North Ogden, UT
  • NPI 1720708415
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in UT

Locations

• LEE'S MARKETPLACE - NORTH OGDEN PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2017.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1902934243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 1400 N STE 110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412459",
            "telephone_number": "435-774-4150",
            "fax_number": "435-774-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N WASHINGTON BLVD",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "84414",
            "telephone_number": "801-782-6116",
            "fax_number": "801-782-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLSCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-774-4150"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "6909518-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE'S MARKETPLACE - NORTH OGDEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intermountain Dental Associates-Endodontics
• Amanda Anne Jensen
• Chad Ryan Jensen, M.D.
• Crystal Jensen
• Philip Jiricko, MD
• Jami D Lang
• Craig C. Larson
• Wade E. Larson
• Eric Daniels Linsley, DDS
• Kent O. Linsley, D.D.S.

• All providers in North Ogden, UT
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.