JRRX LLC
Organization Active NPI Community/Retail Pharmacy · Albany, OR
NPI 1972104354 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1972104354
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- JRRX LLC
- Practice address
- 621 Hickory St NW
Albany, OR 97321-1754 - Phone
- (458) 233-4028
- Fax
- (458) 233-4029
- NPI assigned
- Nov 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Jennifer Ann Garrison, PHARMD
- Title
- Owner
- Phone
- (541) 979-8789
Practitioners 3
-
Eliza Ammon, RPH
-
Jennifer Garrison, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201208003094 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 6305258708 | Practice locations: Albany, OR |
National Provider Directory
Locations
621 Hickory St NW
Albany, OR 97321
Phone (458) 233-4028
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
621 Hickory St NW
Albany, OR 97321-1754
Mailing address
1333 Clay St SE
Albany, OR 97322-6868
Phone (541) 924-9598
Other names
- MEDICAP PHARMACY
Other providers in Albany, OR
- Damian E Jorgensen
- Amanda Joseph
- Raphael Solomon Joseph
- Jennifer Lynn Joslin
- Diana Gail Joy
- Nancy Ann Judd
- Robin L Judd
- Richard Lloyd Julyan
- Michael Jung
- Kacey Justus
All providers in Albany, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.