JEWEL PHARMACY RX CORP (NPI# 1720551914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720551914 |
| Entity Type | Organization |
| Organization Name | JEWEL PHARMACY RX CORP |
| Other Organization Name | JEWEL PHARMACY |
| Practice Address |
51 E Burlington St Riverside IL 60546-2124 |
| Practice Telephone | 7085713761 |
| Practice Fax Number | 7084384640 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | DANIEL K LEE (MANAGER) |
| Authorized Official Telephone | 7085713761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Jewel Pharmacy | Doing Business As Name - Organization |
| Street Address |
51 E BURLINGTON ST |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316992563 | Eric Andrew Haas | Physical Therapist | 51 E Burlington St, Riverside, IL 60546-2124 | 2006-05-24 |
| 1952934978 | Jillian L Marik | Physical Therapist | 51 E Burlington St, Riverside, IL 60546-2124 | 2020-02-18 |
| 1326518648 | Jeffrey K Mei | Physical Therapist | 51 E Burlington St, Riverside, IL 60546-2124 | 2018-11-29 |
| 1013405620 | Michael T Haderspeck | Physical Therapist | 51 E Burlington St, Riverside, IL 60546 | 2018-04-30 |
| 1023563723 | Athletico Ltd. | Physical Therapist | 51 E Burlington St, Riverside, IL 60546-2124 | 2016-08-23 |
| 1548631161 | Chengchi Naujokas | Physical Therapist | 51 E Burlington St, Riverside, IL 60546-2124 | 2015-10-08 |
| 1841560430 | Deborah J. Krause | Dietitian, Registered | 51 E Burlington St, Riverside, IL 60546-2124 | 2012-01-12 |
| 1245500925 | Melanie V. Betz | Dietitian, Registered | 51 E Burlington St, Riverside, IL 60546-2124 | 2012-01-11 |
| 1093085888 | Roche Dietitians | Dietitian, Registered | 51 E Burlington St, Riverside, IL 60546-2124 | 2012-01-10 |
| 1447557608 | Mara Hutton | Physical Therapist | 51 E Burlington St, Riverside, IL 60546 | 2011-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| 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 |
|---|---|---|---|---|
| 1356839617 | Children's Mercy Hospital | Pharmacy | 700 Nw Argosy Parkway, Suite 150, Riverside, MO 64150-1512 | 2018-04-23 |
| 1912406158 | Amsam Enterprises LLC | Pharmacy | 7065 Indiana Ave Ste 310, Riverside, CA 92506-4167 | 2018-02-02 |
| 1255738829 | Cardio Vascular Plus Inc | Pharmacy | 7891 Mission Grove Pkwy S, Suite C, Riverside, CA 92508-5056 | 2014-11-26 |
| 1851716138 | Walmart Inc. | Pharmacy | 8844 Limonite Ave, Riverside, CA 92509-5021 | 2014-02-24 |
| 1295075810 | Phillips Family Pharmacy, LLC | Pharmacy | 2401 Nw Platte Rd, Riverside, MO 64150-9627 | 2013-02-19 |
| 1952647489 | Michael Edward Milad Tadros | Pharmacy | 10237 Magnolia Ave, Riverside, CA 92503-3440 | 2013-01-03 |
| 1265796106 | Abc Pharmacy | Pharmacy | 777 W Blaine St, Riverside, CA 92507-3940 | 2012-06-26 |
| 1548308539 | University of California Riverside | Pharmacy | Campus Health Center Pharmacy, Univ of Ca, Riverside, CA 92521-0001 | 2007-02-02 |
| 1033280409 | Riverside Pharmacy & Compounding | Pharmacy | 9448 Magnolia Ave, Suite B, Riverside, CA 92503 | 2006-11-10 |
| 1477576775 | Garfield Beach Cvs LLC | Pharmacy | 3520 Tyler St, Riverside, CA 92503-4175 | 2006-07-26 |
| Find all providers in RIVERSIDE | ||||
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| 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.