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CJK PHARMACY LLC NPI 1164064093


NPI Information

NPI: 1164064093
Provider Name: CJK PHARMACY, LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3100 E AVE NW STE 102
CEDAR RAPIDS, IA
ZIP 52405
Phone: (319) 200-1188
Get Directions

CJK PHARMACY, LLC is a long term care pharmacy pharmacy in Cedar Rapids, IA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CJK PHARMACY, LLC NPI is 1164064093. The provider is registered as an organization entity type.

The provider's business location address is:

3100 E AVE NW STE 102
CEDAR RAPIDS, IA
ZIP 52405-962
Phone: (319) 200-1188
Fax: (319) 200-1003

The provider's authorized official is Kimberly Vanschepen .
The authorized official title is Pharmacist/owner and has the following contact phone number (319) 200-1188.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 10/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10713135MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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