NPIMap

Organization Active NPI

JRRX LLC

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Albany, OR
National Provider Identifier
1972104354
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JRRX LLC
Doing business as
Medicap Pharmacy
Practice address
621 Hickory St NW
Albany, OR 97321-1754
Phone
(458) 233-4028
Fax
(458) 233-4029
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Jennifer Ann Garrison, PHARMDNPI 1023302304
Title
Owner
Phone
(541) 979-8789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

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 1

  • MEDICAP PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208003094 OR Part B Supplier - Mass Immunization (Roster Biller Only) 6305258708 Practice locations: Albany, OR

National Provider Directory

National Provider Directory

Locations

1333 Clay St SE
Albany, OR 97322
Phone (541) 924-9598

621 Hickory St NW
Albany, OR 97321
Phone (458) 233-4028

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1972104354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CLAY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226868",
            "telephone_number": "541-924-9598",
            "fax_number": "541-967-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HICKORY ST NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211754",
            "telephone_number": "458-233-4028",
            "fax_number": "458-233-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-979-8789",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.