Organization Active NPI

Jammz Chemists LLC

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1366806853
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30762 Issued in TX
Legal business name
JAMMZ CHEMISTS LLC
Doing business as
Cedra Pharmacy
Practice address
9669 N Central Expy Ste 190
Suite 190
Dallas, TX 75231-5056
Phone
(214) 983-1000
Fax
(214) 983-1200
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mazen Karnaby
Title
Ceo/Founder/Ao
Phone
(917) 836-8886

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30762 TX Primary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

9669 N Central Expy Ste 190
Suite 190
Dallas, TX 75231-5056

Mailing address

724 Elton Ave
Bronx, NY 10455-1687
Phone (917) 836-8886

Other identifiers 2

IdentifierTypeStateIssuer
149512MedicaidTX
2159495OtherPK

Other names 1

  • Cedra Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170207000417 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4486937042 Practice locations: Dallas, TX
O20170712001093 TX DME Supplier - Pharmacy 4486937042 Practice locations: Dallas, TX

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cedra Pharmacy9669 N Central Expy, Dallas, TX 75231-5056(214) 983-1000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 1, 2016

National Provider Directory

National Provider Directory

Locations

9669 N Central Expy
Ste 190
Dallas, TX 75231
Phone (214) 983-1000

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1366806853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ELTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551687",
            "telephone_number": "917-836-8886",
            "fax_number": "214-983-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 N CENTRAL EXPY STE 190",
            "address_2": "SUITE 190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315056",
            "telephone_number": "214-983-1000",
            "fax_number": "214-983-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMMZ CHEMISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KARNABY",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "CEO/FOUNDER/AO",
        "authorized_official_telephone_number": "917-836-8886"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30762",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149512",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159495",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedra Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedra Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.