Jackson LTC Pharmacy Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

JACKSON LTC PHARMACY INC.

Practice address

266 N Jackson Ave
8B
San Jose, CA 95116-1606

Phone

(408) 251-7009

Fax

(404) 251-7007

NPI assigned

Mar 31, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Srinivas Reddy Katpelly

Title

President

Phone

(415) 464-9777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1992020028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 N JACKSON AVE",
            "address_2": "8B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 N JACKSON AVE",
            "address_2": "8B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161606",
            "telephone_number": "408-251-7009",
            "fax_number": "404-251-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON LTC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "KATPELLY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-464-9777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rea Jaciow
• Jack Dubin DMD Inc
• Jack Siegel, M.D., Inc.
• Jack Tian Acupuncture
• Larica Fantasia Jacko
• Brandi Nicole Jackson, MSW
• Courtney Jackson
• Cyreetta Jackson
• Gabrielle Raquel Jackson
• Jennifer N Jackson, MSW

• Long Term Care Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.