Healthcare Provider Details

I. General information

NPI: 1184634131
Provider Name (Legal Business Name): PBJ PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5736 CITRUS BLVD STE 103
NEW ORLEANS LA
70123-7601
US

IV. Provider business mailing address

200 E KATELLA AVE STE C
ORANGE CA
92867-4805
US

V. Phone/Fax

Practice location:
  • Phone: 504-340-5221
  • Fax: 504-340-5228
Mailing address:
  • Phone: 949-506-1300
  • Fax: 866-511-4654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY.004002-IR
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY GRIFFITH
Title or Position: MANAGING MEMBER
Credential:
Phone: 949-506-1300