Organization Active NPI

Jemjay Drug Inc

  • Community/Retail Pharmacy
  • Laurelton, NY
National Provider Identifier
1255474318
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021624 Issued in NY
Legal business name
JEMJAY DRUG INC
Doing business as
BOWREYS PHARMACY
Practice address
224 12 Merrick Blvd
Laurelton, NY 11413
Phone
(718) 276-7106
Fax
(718) 276-7107
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Ian Bowrey
Title
Pres
Phone
(718) 276-7106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 021624 NY Primary

Addresses

Primary practice location

224 12 Merrick Blvd
Laurelton, NY 11413

Mailing address

224 12 Merrick Blvd
Laurelton, NY 11413
Phone (718) 276-7106

Other identifiers 2

IdentifierTypeStateIssuer
01422288MedicaidNY
3330660OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BOWREYS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1255474318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 12 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "11413",
            "telephone_number": "718-276-7106",
            "fax_number": "718-276-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 12 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "11413",
            "telephone_number": "718-276-7106",
            "fax_number": "718-276-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMJAY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "BOWREY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-276-7106"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422288",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3330660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWREYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.