JENCARE NEIGHBORHOOD MEDICAL METAIRIE#2
NPI 1104341544
Pharmacy in Metairie, LA

Active since August 07, 2017CLIA Certified · 2 labs
3530 HOUMA BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL METAIRIE #2, METAIRIE, LA 70006(305) 628-6117(305) 831-4408 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2018, Dec 19, 2017, Aug 7, 2017 (3 updates tracked since 2017).

About Jencare Neighborhood Medical Metairie#2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENCARE NEIGHBORHOOD MEDICAL METAIRIE#2 (NPI 1104341544) is a healthcare organization registered as a pharmacy in Metairie, Louisiana and active in the NPI registry since August 2017. The organization holds 2 active CLIA laboratory certificates and lists Gordon L Chen, Officer, as its authorized official.

NPPES Registry Identity

NPI1104341544
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameJENCARE NEIGHBORHOOD MEDICAL METAIRIE, LLC
Location Address3530 HOUMA BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL METAIRIE #2Metairie, LA 70006
Mailing Address1395 N.w. 167th StreetMiami Gardens, FL 33169 · (305) 628-6117 · Fax (305) 831-4408
Fax(305) 831-4408
Organization SubpartYesParent: Pmr La Holding, Llc
Authorized OfficialGordon L ChenOfficer · (305) 628-6117
Enumeration DateAugust 7, 2017
Last NPPES UpdateApril 10, 20183 updates tracked since enumeration
NPI 1104341544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in LA · PHY.007546-IR
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedSpecialistTaxonomy 174400000X
3530 HOUMA BOULEVARD, Metairie, LA 70006

Other Names 1

Other NameJencare Neighborhood Medical Metairie#2

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2060878

Jencare Neighborhood Med Ctr - Glenwood L L C · Glenwood, IL
Active · expires Jun 18, 2027
CLIA Number14D2060878
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 628-6117
Laboratory LocationJencare Neighborhood Med Ctr - Glenwood L L C19310 S Halsted, Glenwood, IL 60425
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2060879

Jencare Neighborhood Med Ctr - Oak Lawn L L C · Oak Lawn, IL
Active · expires Jun 18, 2027
CLIA Number14D2060879
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 628-6117
Laboratory LocationJencare Neighborhood Med Ctr - Oak Lawn L L C6101 West 95th St, Oak Lawn, IL 60453
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jencare Neighborhood Medical Metairie, LLC's NPI number?

The NPI number for Jencare Neighborhood Medical Metairie, LLC is 1104341544. It was assigned to this organization in the NPPES registry on August 7, 2017. The provider is also known as Jencare Neighborhood Medical Metairie#2.

Where is Jencare Neighborhood Medical Metairie, LLC located?

Jencare Neighborhood Medical Metairie, LLC is located at 3530 Houma Boulevard Jencare Neighborhood Medical Metairie #2, Metairie, LA 70006. The listed phone number is (305) 628-6117.

What is Jencare Neighborhood Medical Metairie, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Jencare Neighborhood Medical Metairie, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jencare Neighborhood Medical Metairie, LLC was last updated on April 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.