Healthcare Provider Details

I. General information

NPI: 1952485187
Provider Name (Legal Business Name): JANILCAR, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 NEW HAMPSHIRE AVE NW
WASHINGTON DC
20011-4117
US

IV. Provider business mailing address

5001 NEW HAMPSHIRE AVE NW
WASHINGTON DC
20011-4117
US

V. Phone/Fax

Practice location:
  • Phone: 202-726-3100
  • Fax: 202-291-5259
Mailing address:
  • Phone: 202-726-3100
  • Fax: 202-291-5259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHNR001431
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07464
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number0214000480
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberRX0000115
License Number StateDC

VIII. Authorized Official

Name: SYED SHAH
Title or Position: PRESIDENT
Credential: MASTERS
Phone: 954-288-5257