Provider Demographics
NPI:1952485187
Name:JANILCAR, INC
Entity Type:Organization
Organization Name:JANILCAR, INC
Other - Org Name:NEW HAMPSHIRE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:954-288-5257
Mailing Address - Street 1:5001 NEW HAMPSHIRE AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4117
Mailing Address - Country:US
Mailing Address - Phone:202-726-3100
Mailing Address - Fax:202-291-5259
Practice Address - Street 1:5001 NEW HAMPSHIRE AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4117
Practice Address - Country:US
Practice Address - Phone:202-726-3100
Practice Address - Fax:202-291-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRX0000115332B00000X
GAPHNR001431333600000X
MDP074643336C0003X
VA02140004803336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD281712800Medicaid
VA008534004Medicaid
2004411OtherPK
DC020772701Medicaid
VA008534004Medicaid