Organization Active NPI

Jacob Pharmacy Inc.

Doing business as Kingston Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1033831193
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JACOB PHARMACY INC.
Doing business as
Kingston Pharmacy
Practice address
1106 Saint Johns PL
Brooklyn, NY 11213-2699
Phone
(718) 221-4805
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Ribi Aronov
Title
President
Phone
(718) 221-4805

Specialties & licenses 1

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

Addresses

Primary practice location

1106 Saint Johns PL
Brooklyn, NY 11213-2699

Mailing address

1106 Saint Johns PL
Brooklyn, NY 11213-2699
Phone (718) 221-4805

Other names 1

  • Kingston Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221116000820 NY Part B Supplier - Pharmacy 9830567254 Practice locations: Brooklyn, NY
O20230228000243 NY DME Supplier - Pharmacy 9830567254 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
Jacob Pharmacy Inc1106 Saint Johns PL, Brooklyn, NY 11213-2699(718) 221-4805 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 5, 2022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1033831193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132699",
            "telephone_number": "718-221-4805",
            "fax_number": "718-221-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132699",
            "telephone_number": "718-221-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "ARONOV",
        "authorized_official_first_name": "RIBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-221-4805"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGSTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingston Pharmacy",
            "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 Dec 5, 2025; 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.