Organization Active NPI

Jemmison Holding Corp

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1629150412
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00391900 Issued in NJ
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

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4381700MedicaidNJ
2056221OtherPK

Other names 1

  • D ALLEGROS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.