Active NPI
JMC Pharmacy Inc
- Community/Retail Pharmacy
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 015799
- Legal business name
- JMC PHARMACY INC
- Practice address
- 3875 Broadway Unit a
New York, NY 10032-1567 - Phone
- (212) 795-4909
- Fax
- (212) 795-2043
- NPI assigned
- Jun 20, 2006
- 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
- Jose Campon
- Title
- President
- Phone
- (212) 795-7909
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 015799 | NY | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3875 Broadway Unit a
New York, NY 10032-1567
Mailing address
9315 Roosevelt Ave
Jackson Heights, NY 11372-7943
Phone (718) 478-7968
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00264493 | Medicaid | NY | |
| 2060092 | Other | PK |
Other names 1
- JMC Pharmacy, Inc. - Farmacia Latina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120510000572 | NY | DME Supplier - Pharmacy | 6608038583 | Practice locations: New York, NY |
| O20210128002564 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608038583 | Practice locations: New York, NY |
| O20210408000440 | NY | Part B Supplier - Pharmacy | 6608038583 | Practice locations: New York, NY |
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 |
|---|---|---|
| JMC Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
9315 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 478-6863
3875 Broadway
New York, NY 10032
Phone (212) 795-4909
3875 Broadway
Unit A
New York, NY 10032
Phone (212) 795-4909
3865 Broadway
New York, NY 10032
Phone (212) 795-4909
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1801432786
-
- Pharmacist
- New York, NY
- NPI 1982012043
-
- Pharmacist
- New York, NY
- NPI 1396956819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1477598563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727943",
"telephone_number": "718-478-7968",
"fax_number": "718-478-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 BROADWAY UNIT A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321567",
"telephone_number": "212-795-4909",
"fax_number": "212-795-2043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JMC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "CAMPON",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-795-7909"
},
"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": "015799",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00264493",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2060092",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JMC Pharmacy, Inc. - Farmacia Latina",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.