Jenev Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00754000 Issued in NJ

Legal business name

JENEV ENTERPRISES LLC

Doing business as

LiveWell Pharmacy

Practice address

477 State Route 10 Unit 13
Randolph, NJ 07869-2142

Phone

(973) 775-9818

Fax

(973) 775-9816

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Dharmendra Patel, RPHNPI 1033669437

Title

Ceo/Pharmacy Manager/Pic/Ao

Phone

(973) 220-8098

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• LiveWell Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Dharmendra Patel, RPH.

  • Pharmacist
  • Randolph, NJ
  • NPI 1033669437
  NPD Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1972058535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 STATE ROUTE 10 UNIT 13",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692142",
            "telephone_number": "973-775-9818",
            "fax_number": "973-775-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 STATE ROUTE 10 UNIT 13",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692142",
            "telephone_number": "973-775-9818",
            "fax_number": "973-775-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENEV ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHARMENDRA",
        "authorized_official_title_or_position": "CEO/PHARMACY MANAGER/PIC/AO",
        "authorized_official_telephone_number": "973-220-8098",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00754000",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LiveWell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Jacelone, D.C.
• Jack Gold Surgical Appliances, Inc.
• Marina Jaramillo, MD
• Paul Scott Jarosz
• Stephanie Jasinski, LPC
• Fengyu Jiang, RNFA
• John S Freiheiter MD PA
• Patricia Johnsen, LCSW
• Ashley Lynn Johnson
• Julie Kathleen Jones, DVM

• Community/Retail Pharmacy in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.