JAG PHARMACY AND HEALTH SERVICES (NPI# 1073868386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073868386 |
| Entity Type | Organization |
| Organization Name | JAG PHARMACY AND HEALTH SERVICES |
| Other Organization Name | 45TH STREET PHARMACY |
| Practice Address |
5335 N Military Trl Ste 44 West Palm Beach FL 33407-3033 |
| Practice Telephone | 5616702001 |
| Practice Fax Number | 5618288454 |
| Mailing Telephone | 5616702001 |
| Mailing Fax Number | 5618288454 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | GANIAT OLUWAMAYOWA (OWNER) |
| Authorized Official Telephone | 7868779297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH26266 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136375 | 01 | |
| FL | 007284500 | 05 |
| Other Name | Type Code |
|---|---|
| 45TH STREET PHARMACY | Doing Business As Name - Organization |
| Street Address |
5335 N MILITARY TRL STE 44 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780897082 | Fredeline D. Amedee-benjamin | Chiropractor | 5335 N Military Trl Ste 44, West Palm Beach, FL 33407-3033 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| 1003464132 | Linton Square Pharmacy North, LLC. | Pharmacy | 2580 Metrocentre Blvd Ste 5, West Palm Beach, FL 33407-3100 | 2019-09-02 |
| 1144874827 | Infinite Health Pharmacy LLC | Pharmacy | 416 Clematis St Ste B, West Palm Beach, FL 33401-5312 | 2019-07-30 |
| 1417470816 | Omrx,llc | Pharmacy | 4603 Okeechobee Blvd Ste 118, West Palm Beach, FL 33417-4636 | 2017-07-18 |
| 1841731726 | Progress Pharmacy Inc | Pharmacy | 8170 Okeechobee Blvd, Suite 5, West Palm Beach, FL 33411 | 2017-03-13 |
| 1104187822 | Green Apple Pharmacy Inc | Pharmacy | 4545 Forest Hill Blvd, Bay 3, West Palm Beach, FL 33415-9144 | 2012-05-30 |
| 1114164639 | Wal-mart Stores East Lp | Pharmacy | 4225 45th St, West Palm Beach, FL 33407-1919 | 2009-01-21 |
| 1639399462 | Health Care District of Palm Beach County | Pharmacy | 1150 45th St., West Palm Beach, FL 33407 | 2007-04-26 |
| 1932298619 | E & T Pharmacy LLC | Pharmacy | 3111 45th St Ste 3, West Palm Beach, FL 33407-1981 | 2006-10-12 |
| 1649374620 | Holiday Cvs LLC | Pharmacy | 1301 N Dixie Hwy, West Palm Beach, FL 33401-2703 | 2006-09-12 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
Please comment or provide details below to improve the information on JAG PHARMACY AND HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.