Provider Demographics
NPI:1629263371
Name:JAH PHARMACIES INC
Entity Type:Organization
Organization Name:JAH PHARMACIES INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGREFE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:937-773-1778
Mailing Address - Street 1:649 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2149
Mailing Address - Country:US
Mailing Address - Phone:937-773-1778
Mailing Address - Fax:937-773-0643
Practice Address - Street 1:649 W HIGH ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2149
Practice Address - Country:US
Practice Address - Phone:937-773-1778
Practice Address - Fax:937-773-0643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2777044Medicaid
OH3676244OtherNCPDP #
OH3676244OtherNCPDP #
OH3676244OtherNCPDP #
OH6023170001Medicare NSC