1952485187 NPI number — JANILCAR, INC

Table of content: (NPI 1952485187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952485187 NPI number — JANILCAR, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JANILCAR, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NEW HAMPSHIRE PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952485187
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5001 NEW HAMPSHIRE AVE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20011-4117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-726-3100
Provider Business Mailing Address Fax Number:
202-291-5259

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5001 NEW HAMPSHIRE AVE NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20011-4117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-726-3100
Provider Business Practice Location Address Fax Number:
202-291-5259
Provider Enumeration Date:
10/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHAH
Authorized Official First Name:
SYED
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-288-5257

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  RX0000115 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 333600000X , with the licence number: PHNR001431 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: P07464 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0004X , with the licence number: 0214000480 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 281712800 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 008534004 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2004411 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 020772701 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".