JB Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JB PHARMACY INC

Practice address

2777 Pacific Ave Ste a
Long Beach, CA 90806-2626

Phone

(562) 426-6588

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

James Bland

Title

Owner

Phone

(562) 426-6588

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pacific Plaza Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1972083459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062626",
            "telephone_number": "562-426-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-426-6588"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "56191",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145043",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahinda A Jayaratna, MD
• Surani Amala Jayaratna
• George M Jayatilaka, M.D.
• Mahmood Jay Jazayeri, M D
• JB Pharmacy Inc
• JC Medical Supply
• Ashley Arielle Jean-Baptiste, ACSW
• Ryan Sykes Jean-Baptiste, M.D.
• Kennedy Darlene Jearman
• Victor Jedkins

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.