Organization Active NPI

Jha Pharma LLC

Doing business as Mellor's Drug Store

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1013401058
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JHA PHARMA LLC
Doing business as
Mellor's Drug Store
Practice address
3350 Fulton St
Brooklyn, NY 11208-2034
Phone
(718) 277-5371
NPI assigned
Jun 21, 2018
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rathna Veeramachanani
Title
President
Phone
(201) 780-7210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3350 Fulton St
Brooklyn, NY 11208-2034

Mailing address

123 Laidlaw Ave
Jersey City, NJ 07306-2512
Phone (201) 780-7210

Other names 1

  • MELLOR'S DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190812000188 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2769725613 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Jha Pharma LLC3350 Fulton St, Brooklyn, NY 11208-2034(718) 277-5371 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 16, 2012

National Provider Directory

National Provider Directory

Locations

3343 Fulton St
Brooklyn, NY 11208
Phone (718) 277-5371

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1013401058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LAIDLAW AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062512",
            "telephone_number": "201-780-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082034",
            "telephone_number": "718-277-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHA PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "VEERAMACHANANI",
        "authorized_official_first_name": "RATHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-780-7210"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELLOR'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.