Organization Active NPI

Jadd Pharmacy Corp

  • Community/Retail Pharmacy
  • Rock Hill, NY
National Provider Identifier
1235289471
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JADD PHARMACY CORP
Doing business as
Rock Hill Pharmacy
Practice address
253 Rock Hill Drive
Rock Hill, NY 12775
Phone
(845) 791-1515
Fax
(845) 791-1045
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Joseph W Giangiacomo, PHARMDNPI 1881767242
Title
Owner
Phone
(845) 791-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

253 Rock Hill Drive
Rock Hill, NY 12775

Mailing address

PO Box 777
Rock Hill, NY 12775-0777
Phone (845) 791-1515

Other identifiers 2

IdentifierTypeStateIssuer
037539OtherNYBOARD OF PHARMACY
05686397MedicaidNY

Other names 1

  • Rock Hill 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
O20190830001145 NY DME Supplier - Pharmacy 1355679234 Practice locations: Rock Hill, NY
O20191003002649 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1355679234 Practice locations: Rock Hill, 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
33D2221736Rock Hill Pharmacy253 Rock Hill Drive, Rock Hill, NY 12775Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rock Hill Pharmacy253 Rock Hill Dr, Rock Hill, NY 12775-6620(845) 791-1515 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 30, 2023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1235289471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "ROCK HILL",
            "state": "NY",
            "postal_code": "127750777",
            "telephone_number": "845-791-1515",
            "fax_number": "845-791-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 ROCK HILL DRIVE",
            "city": "ROCK HILL",
            "state": "NY",
            "postal_code": "12775",
            "telephone_number": "845-791-1515",
            "fax_number": "845-791-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADD PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "GIANGIACOMO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-791-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "037539",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05686397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.