JSN Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JSN HEALTH LLC

Practice address

42086 Garfield Rd
Clinton Township, MI 48038-1643

Phone

(586) 554-2745

Fax

(586) 554-2746

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Harshad Bidja

Title

President

Phone

(586) 554-2745

Specialties & licenses 1

Addresses

Other names 1

• Garfield Drug Mart Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1992424329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42086 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381643",
            "telephone_number": "586-554-2745",
            "fax_number": "586-554-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42086 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381643",
            "telephone_number": "586-554-2745",
            "fax_number": "586-554-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "BIDJA",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-554-2745"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.