Organization Active NPI

Jaffri Enterprises Inc

  • Compounding Pharmacy
  • Bronx, NY
National Provider Identifier
1700948585
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
026372 Issued in NY
Legal business name
JAFFRI ENTERPRISES INC
Practice address
1729 Nelson Ave
Bronx, NY 10453-7003
Phone
(718) 299-4331
Fax
(718) 299-4332
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Syed Y Raza
Title
President
Phone
(718) 299-4331

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X 026372 NY Primary

Addresses

Primary practice location

1729 Nelson Ave
Bronx, NY 10453-7003

Mailing address

1729 Nelson Ave
Bronx, NY 10453-7003
Phone (718) 299-4331

Other identifiers 2

IdentifierTypeStateIssuer
3336941OtherOTHER ID NUMBER
02525928MedicaidNY

Other names 1

  • MACOMBS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1729 Nelson Ave
Bronx, NY 10453
Phone (718) 299-4331

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1700948585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 NELSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104537003",
            "telephone_number": "718-299-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 NELSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104537003",
            "telephone_number": "718-299-4331",
            "fax_number": "718-299-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFRI ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-299-4331"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "026372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3336941",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02525928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACOMBS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2012; 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.