Organization Active NPI

Jgbla Inc

Doing business as west hempstead pharmacy

  • Pharmacist
  • West Hempstead, NY
National Provider Identifier
1083774434
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025509 Issued in NY
Legal business name
JGBLA INC
Doing business as
west hempstead pharmacy
Practice address
449 Hempstead Ave
West Hempstead, NY 11552-2715
Phone
(516) 292-6161
Fax
(516) 292-6169
NPI assigned
Dec 8, 2006
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Mr. Howard Bruce Jacobson, R.PH.
Title
President
Phone
(516) 292-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 025509 NY Primary

Addresses

Primary practice location

449 Hempstead Ave
West Hempstead, NY 11552-2715

Mailing address

449 Hempstead Ave
West Hempstead, NY 11552-2715
Phone (516) 292-6161

Other identifiers 2

IdentifierTypeStateIssuer
3328881OtherNYNCPDP
02352894MedicaidNY

Other names 1

  • west hempstead 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
O20100930044527 NY DME Supplier - Pharmacy 0648484378 Practice locations: West Hempstead, NY
O20130513000000 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0648484378 Practice locations: West Hempstead, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2184172West Hempstead Pharmacy449 Hempstead Ave, West Hempstead, NY 11552Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Jgbla Inc449 Hempstead Ave, West Hempstead, NY 11552-2715(516) 292-6161 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Se… Accepts assignmentParticipating since Jan 3, 2003

National Provider Directory

National Provider Directory

Locations

449 Hempstead Ave
West Hempstead, NY 11552
Phone (516) 292-6161

490 Hempstead Ave
West Hempstead, NY 11552
Phone (516) 292-6161

Practitioners & affiliated clinicians

Practitioners 8

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1083774434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522715",
            "telephone_number": "516-292-6161",
            "fax_number": "516-292-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522715",
            "telephone_number": "516-292-6161",
            "fax_number": "516-292-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGBLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-292-6161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3328881",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02352894",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "west hempstead pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.