Jr Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH21994 Issued in FL

Legal business name

JR PHARMACY PLLC

Doing business as

JR PHARMACY PLLC

Practice address

2160 Whisper Lakes Blvd
Orlando, FL 32837-6762

Phone

(407) 447-5612

Fax

(407) 447-5614

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Rojer Tewari, RPH

Title

Managing MBR

Phone

(407) 967-8237

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• JR PHARMACY PLLC Doing business as

Locations

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1912957127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 WHISPER LAKES BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 WHISPER LAKES BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376762",
            "telephone_number": "407-447-5612",
            "fax_number": "407-447-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "TEWARI",
        "authorized_official_first_name": "ROJER",
        "authorized_official_title_or_position": "MANAGING MBR",
        "authorized_official_telephone_number": "407-967-8237",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1018969",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031430701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031430700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JR PHARMACY PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, 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 Dec 2, 2008; 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.