Healthcare Provider Details

I. General information

NPI: 1164660437
Provider Name (Legal Business Name): JANNA PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 TORRANCE BLVD SUITE 120
TORRANCE CA
90503-4579
US

IV. Provider business mailing address

788 MORRIS TURNPIKE FL 3
SHORT HILLS NJ
07078
US

V. Phone/Fax

Practice location:
  • Phone: 310-543-1111
  • Fax: 310-543-1114
Mailing address:
  • Phone: 973-869-2820
  • Fax: 973-869-2822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number51611
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ANUSH AMIN
Title or Position: PRESIDENT & OFFICER
Credential:
Phone: 973-869-2820