Active NPI
Jammz Chemists LLC
- Community/Retail Pharmacy
- Dallas, TX
National Provider Identifier
1366806853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 30762
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149512 | Medicaid | TX | |
| 2159495 | Other | PK |
Other names 1
- Cedra Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cedra Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.