Active NPI
JD RX Inc
- Durable Medical Equipment & Medical Supplies
- Smithtown, NY
National Provider Identifier
1124025770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4890760001
- Legal business name
- JD RX INC
- Practice address
- 347 Terry Rd
Smithtown, NY 11787-5510 - Phone
- (631) 361-4100
- Fax
- (631) 361-4178
- NPI assigned
- Jun 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Blatt, R.PH.
- Title
- Sec,TSR,Supervising RPH
- Phone
- (631) 361-4100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4890760001 | NY | Primary |
| Pharmacy | 333600000X | 26072 | NY |
Addresses
Primary practice location
347 Terry Rd
Smithtown, NY 11787-5510
Mailing address
347 Terry Rd
Smithtown, NY 11787-5510
Phone (631) 361-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02415947 | Medicaid | NY |
Other names 1
- TOWNLINE DRUG & SURGICAL
National Provider Directory
National Provider DirectoryLocations
347 Terry Rd
Smithtown, NY 11787
Phone (631) 361-4100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1124025770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 TERRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875510",
"telephone_number": "631-361-4100",
"fax_number": "631-361-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 TERRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875510",
"telephone_number": "631-361-4100",
"fax_number": "631-361-4178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JD RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BLATT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "SEC,TSR,SUPERVISING RPH",
"authorized_official_telephone_number": "631-361-4100",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "4890760001",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "26072",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02415947",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOWNLINE DRUG & SURGICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.