Organization Active NPI

Jain Pharmacy Inc

Doing business as Maxemma Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1710908769
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027551 Issued in NY
Legal business name
JAIN PHARMACY INC
Doing business as
Maxemma Pharmacy
Practice address
1570 Westchester Ave
Bronx, NY 10472-2913
Phone
(718) 542-3335
Fax
(718) 542-3338
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Jignesh ShahNPI 1043468622
Title
Owner
Phone
(718) 542-3335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 027551 NY Primary

Addresses

Primary practice location

1570 Westchester Ave
Bronx, NY 10472-2913

Mailing address

1570 Westchester Ave
Bronx, NY 10472-2913

Other identifiers 2

IdentifierTypeStateIssuer
3333921OtherOTHER ID NUMBER-COMMERCIAL NUMBER
02673449MedicaidNY

Other names 1

  • MAXEMMA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1570 Westchester Ave
Bronx, NY 10472
Phone (718) 542-3335

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1710908769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722913",
            "telephone_number": "718-542-3335",
            "fax_number": "718-542-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-542-3335"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3333921",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXEMMA 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 Feb 4, 2008; 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.