Organization Active NPI

JMC Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1477598563
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
015799 Issued in NY
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

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00264493MedicaidNY
2060092OtherPK

Other names 1

  • JMC Pharmacy, Inc. - Farmacia Latina Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 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
JMC Pharmacy Inc3875 Broadway, New York, NY 10032-1567(212) 795-4909 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 1, 2021

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.