Jerusalem Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00670700 Issued in NJ

Legal business name

JERUSALEM PHARMACY

Practice address

1414 Main Ave
Clifton, NJ 07011-2157

Phone

(973) 340-6200

Fax

(973) 340-6204

NPI assigned

Jul 20, 2007

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Younis Rasheed, R.PH.NPI 1508480112

Title

Pharmacist in Charge/Owner

Phone

(210) 410-0002

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Younis Rasheed, RPH

  • Pharmacist
  • Clifton, NJ
  • NPI 1508480112
  NPD Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1467652057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112157",
            "telephone_number": "973-340-6200",
            "fax_number": "973-340-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112157",
            "telephone_number": "973-340-6200",
            "fax_number": "973-340-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERUSALEM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "RASHEED",
        "authorized_official_first_name": "YOUNIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "210-410-0002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00670700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156647",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jemm International LLC
• Crystal Jenkins
• Donald W Jenkins, MD
• Matthew Jensen, PA
• Jersey Anesthesia Services LLC
• Jet-L Physical Therapy Inc
• Ajay V. Jetley, MD
• Jewish Family Service & Childrens Center of Clifton-Passaic, Inc (Jewish Family Service)
• Ke Jin, L.AC
• Sierra Jin, M.D.

• Community/Retail Pharmacy in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.