Organization Active NPI

Jojan Pharma Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1689978645
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17-030756 Issued in NY
Legal business name
JOJAN PHARMA INC
Practice address
121 Saint Nicholas Ave
Brooklyn, NY 11237-4043
Phone
(201) 780-7210
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Rathna Veeramachanani
Title
President
Phone
(201) 780-7210

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17-030756 NY Primary
Specialty Pharmacy 3336S0011X 17-030756 NY

Addresses

Primary practice location

121 Saint Nicholas Ave
Brooklyn, NY 11237-4043

Mailing address

121 Saint Nicholas Ave
Brooklyn, NY 11237-4043

Other identifiers 1

IdentifierTypeStateIssuer
03305451MedicaidNY

Other names 1

  • ST JUDE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20111006000237 NY DME Supplier - Pharmacy 2264604727 Practice locations: Brooklyn, NY
O20140630000667 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2264604727 Practice locations: Brooklyn, NY
O20201207001065 NY Part B Supplier - Independent Clinical Laboratory 2264604727 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Jojan Pharma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1689978645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374043",
            "telephone_number": "201-780-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOJAN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "VEERAMACHANANI",
        "authorized_official_first_name": "RATHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-780-7210"
    },
    "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": "17-030756",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "17-030756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03305451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JUDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.

Verify at the official NPI Registry.