Jencare Neighborhood Medical Center South Dekalb, Llc
Specialist
2124 Candler Rd, Decatur
Georgia, 30032-5572
305-628-6117 Jencare Neighborhood Medical Center South Dekalb, Llc is a Specialist in Decatur, Georgia. It is located at 2124 Candler Rd, Decatur and it's customer support contact number is 305-628-6117. The authorized person of Jencare Neighborhood Medical Center South Dekalb, Llc is Mary Chen who is Authorized Offical of the pharmacy and his contact number is 305-831-4722. Active license number of Jencare Neighborhood Medical Center South Dekalb, Llc is 069385 for Specialist in Georgia. Jencare Neighborhood Medical Center South Dekalb, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jencare Neighborhood Medical Center South Dekalb, Llc is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Pharmacy Details:
Jencare Neighborhood Medical Center South Dekalb, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jencare Neighborhood Medical Center South Dekalb, Llc |
| Type: | Specialist |
| Location: | 2124 Candler Rd, Decatur,
Georgia, 30032-5572 |
| Phone: | 305-628-6117 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mary Chen |
| Position: | Authorized Offical |
| Contact Number: | 305-831-4722 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1912248345 |
| NPI Enumeration Date: | 11 Mar, 2013 |
| NPI Last Update On: | 31 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jencare Neighborhood Medical Center South Dekalb, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | 069385 | Georgia | Primary | |
| Non-pharmacy Dispensing Site | 069385 | Georgia | Secondary | |
Medicare Enrollment:
Jencare Neighborhood Medical Center South Dekalb, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0941442099 | O20130820000406 | Jencare Neighborhood Medical Center South Dekalb, Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1395 Nw 167th St,
Miami, Florida |
| Zip: | 33169-5710 |
| Phone Number: | 305-628-6117 |
Patients can reach Jencare Neighborhood Medical Center South Dekalb, Llc at
2124 Candler Rd, Decatur, Georgia or can
call on customer care at 305-628-6117.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.