Provider Demographics
NPI:1578503223
Name:JOCHYS PHARMACY INC
Entity Type:Organization
Organization Name:JOCHYS PHARMACY INC
Other - Org Name:JOCHYS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EGHOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:UHUNMWANGHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-556-1800
Mailing Address - Street 1:5858 W 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2603
Mailing Address - Country:US
Mailing Address - Phone:305-556-1800
Mailing Address - Fax:305-556-1815
Practice Address - Street 1:5858 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2603
Practice Address - Country:US
Practice Address - Phone:305-556-1800
Practice Address - Fax:305-556-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH199953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1008134OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5159400001Medicare NSC