Organization Active NPI

Jolin RX Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1679677132
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JOLIN RX INC.
Practice address
1870 Grand Concourse
Bronx, NY 10457-5401
Phone
(718) 294-5588
Fax
(718) 716-3041
NPI assigned
Sep 12, 2006
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Mr. Rajesh Mathew, R.PH.
Title
Supervising Pharmacist / Manager
Phone
(718) 294-5588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15244 NY
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1870 Grand Concourse
Bronx, NY 10457-5401

Mailing address

1870 Grandconcourse
Bronx, NY 10457-5401
Phone (718) 294-5588

Other identifiers 2

IdentifierTypeStateIssuer
3322269OtherNYNCPDP
02958189MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930042793 NY DME Supplier - Pharmacy 0143426106 Practice locations: Bronx, NY
O20220614002039 NY Part B Supplier - Pharmacy 0143426106 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Jolin RX Inc1870 Grand Concourse, Bronx, NY 10457-5473(718) 294-5588 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Apr 23, 2008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1679677132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 GRANDCONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575401",
            "telephone_number": "718-294-5588",
            "fax_number": "718-294-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575401",
            "telephone_number": "718-294-5588",
            "fax_number": "718-716-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIN RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST / MANAGER",
        "authorized_official_telephone_number": "718-294-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "15244",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3322269",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02958189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.