Organization Active NPI

Major Pharma Mam Corp.

Doing business as Hylan Care Pharmacy

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1114737194
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAJOR PHARMA MAM CORP.
Doing business as
Hylan Care Pharmacy
Practice address
1509 Hylan Blvd
Staten Island, NY 10305-1907
Phone
(718) 400-8408
Fax
(917) 397-8901
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Authorized official

Name
Jalal Jibril, PHARMD
Title
President/Ceo
Phone
(718) 400-8408

Specialties & licenses 1

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

Addresses

Primary practice location

1509 Hylan Blvd
Staten Island, NY 10305-1907

Mailing address

1509 Hylan Blvd
Staten Island, NY 10305-1907
Phone (718) 400-8408

Other names 1

  • HYLAN CARE 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
O20250915001216 NY DME Supplier - Pharmacy 2163925124 Practice locations: Staten Island, NY
O20250926000087 NY Part B Supplier - Pharmacy 2163925124 Practice locations: Staten Island, 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
Major Pharma Mam Corp1509 Hylan Blvd, Staten Island, NY 10305-1907(718) 400-8408 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 15, 2025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784332800000",
    "number": "1114737194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051907",
            "telephone_number": "718-400-8408",
            "fax_number": "917-397-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051907",
            "telephone_number": "718-400-8408",
            "fax_number": "917-397-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR PHARMA MAM CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "JIBRIL",
        "authorized_official_first_name": "JALAL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-400-8408",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HYLAN CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.