Provider Demographics
NPI:1164661914
Name:JIB ENTERPRISES LLC
Entity Type:Organization
Organization Name:JIB ENTERPRISES LLC
Other - Org Name:DRUG PLUS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUBINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-807-2049
Mailing Address - Street 1:1590 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE#130
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3507
Mailing Address - Country:US
Mailing Address - Phone:702-834-8152
Mailing Address - Fax:702-834-8156
Practice Address - Street 1:1590 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE#130
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3507
Practice Address - Country:US
Practice Address - Phone:702-834-8152
Practice Address - Fax:702-834-8156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
NVPH025123336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2119350OtherPK