Provider Demographics
NPI:1306562723
Name:JANA RX INC.
Entity type:Organization
Organization Name:JANA RX INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FATMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:FEJZULLAHU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:704-729-6171
Mailing Address - Street 1:805 GASTONIA HWY
Mailing Address - Street 2:
Mailing Address - City:BESSEMER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28016-2198
Mailing Address - Country:US
Mailing Address - Phone:704-729-6171
Mailing Address - Fax:704-729-6217
Practice Address - Street 1:805 GASTONIA HWY
Practice Address - Street 2:
Practice Address - City:BESSEMER CITY
Practice Address - State:NC
Practice Address - Zip Code:28016-2198
Practice Address - Country:US
Practice Address - Phone:704-729-6171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy