Active NPI
Jemmison Holding Corp
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1629150412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00391900
- Legal business name
- JEMMISON HOLDING CORP
- Practice address
- 252 Walnut St
Newark, NJ 07105-1717 - Phone
- (973) 344-8663
- Fax
- (973) 344-1138
- NPI assigned
- Oct 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
- Jerry Znak, RPH
- Title
- President
- Phone
- (973) 344-8663
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00391900 | NJ | Primary |
Addresses
Primary practice location
252 Walnut St
Newark, NJ 07105-1717
Mailing address
252 Walnut St
Newark, NJ 07105-1717
Phone (973) 344-8663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4381700 | Medicaid | NJ | |
| 2056221 | Other | PK |
Other names 1
- D ALLEGROS PHARMACY
National Provider Directory
National Provider DirectoryLocations
252 Walnut St
Newark, NJ 07105
Phone (201) 344-8663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1629150412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 WALNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051717",
"telephone_number": "973-344-8663",
"fax_number": "973-344-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 WALNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051717",
"telephone_number": "973-344-8663",
"fax_number": "973-344-1138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEMMISON HOLDING CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "ZNAK",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-344-8663",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00391900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4381700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2056221",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "D ALLEGROS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.