Jjdrug Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH30141 Issued in FL

Legal business name

JJDRUG CO

Practice address

1240 Providence Blvd Ste 2
Deltona, FL 32725-7352

Phone

(386) 968-1066

Fax

(386) 259-5018

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Martin Szkodzinski

Title

President

Phone

(813) 326-0877

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• JJ'S PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1982052361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 PROVIDENCE BLVD",
            "address_2": "STE 2",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257352",
            "telephone_number": "386-968-1066",
            "fax_number": "386-259-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 PROVIDENCE BLVD STE 2",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257352",
            "telephone_number": "386-968-1066",
            "fax_number": "386-259-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJDRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "SZKODZINSKI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-326-0877"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30141",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JJ'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lavelle L. Jenkins, MA, MBA
• Latonya D Jennings
• Paul Jewell, DC
• Alma M Jimenez
• Arielle Jimenez
• Divya Ann John
• Adrienne Johnson McMillan
• Keyanna Johnson
• Cherynne Jones
• Jessica Lynn Tinstman Jones, PHD, NCC, RMHCI

• Pharmacy in Deltona, FL
• Providers in Deltona, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.