Organization Active NPI

JD RX Inc

  • Durable Medical Equipment & Medical Supplies
  • Smithtown, NY
National Provider Identifier
1124025770
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4890760001 Issued in NY
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02415947MedicaidNY

Other names 1

  • TOWNLINE DRUG & SURGICAL Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.