Provider Demographics
NPI:1275062259
Name:JAYVI CAPITAL LLC
Entity Type:Organization
Organization Name:JAYVI CAPITAL LLC
Other - Org Name:PIPKIN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYMISH
Authorized Official - Middle Name:NAVINCHANDRA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:570-780-5309
Mailing Address - Street 1:28707 TAVIRA CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6441
Mailing Address - Country:US
Mailing Address - Phone:570-780-5309
Mailing Address - Fax:
Practice Address - Street 1:2455 US HIGHWAY 98 N
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2418
Practice Address - Country:US
Practice Address - Phone:570-780-5309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy