Jaglo Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

019511 Issued in NY

Legal business name

JAGLO PHARMACY INC

Doing business as

rockville centre pharmacy

Practice address

30 Hempstead Ave
Suite 156
Rockville Centre, NY 11570-4033

Phone

(516) 764-6161

Fax

(516) 678-3246

NPI assigned

Dec 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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.NPI 1790845170

Title

President

Phone

(516) 764-6161

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• rockville centre pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jaglo Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jaglo Pharmacy Inc

  • Long Term Care Pharmacy
  • Rockville Centre, NY
  • NPI 1528998424
  NPD tax ID

Locations

Practitioners 4

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.

• Howard Jacobson, R.PH.

  • Pharmacist
  • Rockville Centre, NY
  • NPI 1790845170
  NPD (past) Authorized official
• Pamela Joyce Collins, RPH

  • Pharmacist
  • Rockville Centre, NY
  • NPI 1689113615
  NPD (past)
• Brian Andres Pereira, PHARM.D.

  • Pharmacist
  • Rockville Centre, NY
  • NPI 1699128983
  NPD (past)
• Mary Elizabeth Vukadin, PHARMD

  • Pharmacist
  • Rockville Centre, NY
  • NPI 1760539738
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144380585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE",
            "address_2": "SUITE 156",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704033",
            "telephone_number": "516-764-6161",
            "fax_number": "516-678-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE",
            "address_2": "SUITE 156",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704033",
            "telephone_number": "516-764-6161",
            "fax_number": "516-678-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGLO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "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": "516-764-6161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "019511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01027870",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3390337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rockville centre pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Andrew Jacobs, D.O.
• Andrew Gene Jacobson, D.M.D.
• Howard Jacobson, R.PH.
• Lisa Jacobson
• Aisha Jafri, MS ED
• Jaglo Pharmacy Inc
• Seema Jaipal
• Nouna Jalilzadeh
• Ahmad Jamal, MD
• James Gott Physical Therapy

• Pharmacist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.