Jrstat Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028708 Issued in NY

Legal business name

JRSTAT PHARMACY INC

Practice address

7107 13TH Ave
Brooklyn, NY 11228-1605

Phone

(718) 633-2988

Fax

(718) 633-6388

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Xiao Yu LauNPI 1598989972

Title

President

Phone

(718) 633-2988

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JRSTAT PHARMACY INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• Xiao Yu Lau

  • Pharmacist
  • Brooklyn, NY
  • NPI 1598989972
  NPD Authorized official
• Puishan Kristi Chu, R.PH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1255598421
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1508878166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281605",
            "telephone_number": "718-633-2988",
            "fax_number": "718-633-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281605",
            "telephone_number": "718-633-2988",
            "fax_number": "718-633-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRSTAT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "XIAO YU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-633-2988"
    },
    "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": "028708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02914818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JRSTAT PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 15, 2017; 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.