Jasmine Specialty RX Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JASMINE SPECIALTY RX CORP

Practice address

11418 Liberty Ave
South Richmond Hill, NY 11419-1810

Phone

(347) 238-1046

Fax

(888) 503-6953

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Arthur Jakubov

Title

Owner

Phone

(347) 238-1046

Specialties & licenses 1

Addresses

Other names 1

• jasmine rx Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1508634668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11418 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191810",
            "telephone_number": "347-238-1046",
            "fax_number": "888-503-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11418 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191810",
            "telephone_number": "347-238-1046",
            "fax_number": "888-503-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE SPECIALTY RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "JAKUBOV",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-238-1046"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jasmine rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "jasmine rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheddi Bradlaugh Jagan, D.D.S.
• Taramattee Jagnatnarain
• Nidhi Jain, MD
• Maria Jalim, LMSW
• Jasmine RX, Inc
• Yousuf Jawad, BPHARM
• Felicia Angela Jettoo
• George Vishnudatt Jhagroo Sr., M.D
• Jireh Eye Care LLC
• Monica Madhuri Jolly, DMD

• Community/Retail Pharmacy in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.