Active NPI
Jamaica Chemists Inc
Doing business as Jackson Heights Pharmacy and Surgicals
- Community/Retail Pharmacy
- Jackson Heights, NY
National Provider Identifier
1518982347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 027689
- Legal business name
- JAMAICA CHEMISTS INC
- Doing business as
- Jackson Heights Pharmacy and Surgicals
- Practice address
- 71 34 Roosevelt Ave
Jackson Heights, NY 11372 - Phone
- (718) 779-1444
- Fax
- (718) 779-1445
- NPI assigned
- Jul 13, 2006
- Last updated
- Feb 28, 2012
- 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
- Shahab Ahmed
- Title
- President
- Phone
- (516) 650-7937
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 027689 | NY | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
71 34 Roosevelt Ave
Jackson Heights, NY 11372
Mailing address
71 34 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 779-1444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02779546 | Medicaid | NY | |
| 3351424 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- JACKSON HEIGHTS PHARMACY AND SURGICALS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054450 | NY | DME Supplier - Pharmacy | 7618170127 | Practice locations: Jackson Heights, NY |
| O20220829002550 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618170127 | Practice locations: Jackson Heights, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330387200000",
"number": "1518982347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 34 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372",
"telephone_number": "718-779-1444",
"fax_number": "718-779-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 34 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372",
"telephone_number": "718-779-1444",
"fax_number": "718-779-1445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMAICA CHEMISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2012-02-28",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "SHAHAB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-650-7937"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "027689",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02779546",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3351424",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JACKSON HEIGHTS PHARMACY AND SURGICALS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.