J and M Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054014165 Issued in IL

Legal business name

J AND M PHARMACY INC

Practice address

31 W 155TH St
Harvey, IL 60426-3556

Phone

(773) 285-6290

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Selma Dzelil, PHARM.D

Title

Supervisor

Phone

(815) 715-8502

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Local Health Pharmacy - Harvey Doing business as

Locations

Practitioners 1

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

• Adonis Alvin Ducre, PHARM.D

  • Pharmacist
  • Katy, TX
  • NPI 1417233610
  NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1386686970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "773-285-6290",
            "fax_number": "773-285-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "773-285-6290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 S State St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606095322",
            "country_code": "US",
            "telephone_number": "773-285-6290",
            "fax_number": "773-285-6290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J AND M PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "DZELIL",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "815-715-8502",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054014165",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDC",
            "identifier": "1450004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Local Health Pharmacy - Harvey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ingalls Memorial Hospital
• Ingalls Professional Pharmacy 4
• Craig Irvine, DMD
• David Philip Ison, M.D.
• Jarmo J Itkonen, MD
• Donna B. Jagmin, RPH
• Trevor Jellison, PA-C
• Jerry J Itkonen, SC
• Annette Johnson
• Britnee M Johnson

• Pharmacy in Harvey, IL
• Providers in Harvey, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.