Organization Active NPI

JRX LLC

  • Community/Retail Pharmacy
  • Lockport, NY
National Provider Identifier
1720093461
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024160 Issued in NY
Legal business name
JRX LLC
Practice address
6606 Lincoln Ave
Lockport, NY 14094-6109
Phone
(716) 438-3990
Fax
(716) 438-3993
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Jill M Caruso, RPHNPI 1831298603
Title
Owner
Phone
(716) 553-3584

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 024160 NY Primary

Addresses

Primary practice location

6606 Lincoln Ave
Lockport, NY 14094-6109

Mailing address

6606 Lincoln Ave
Lockport, NY 14094-6109
Phone (716) 438-3990

Other identifiers 2

IdentifierTypeStateIssuer
3302318OtherNCPDP
01903204MedicaidNY

Other names 1

  • LOCKPORT APOTHECARY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930085821 NY DME Supplier - Pharmacy 4183830433 Practice locations: Lockport, NY
O20210114002090 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4183830433 Practice locations: Lockport, 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
Lockport Apothecary6606 Lincoln Ave, Lockport, NY 14094-6109(716) 438-3990 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Mar 25, 2003

National Provider Directory

National Provider Directory

Locations

6606 Lincoln Ave
Lockport, NY 14094
Phone (716) 438-3990

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720093461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 LINCOLN AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946109",
            "telephone_number": "716-438-3990",
            "fax_number": "716-438-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LINCOLN AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946109",
            "telephone_number": "716-438-3990",
            "fax_number": "716-438-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-553-3584",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3302318",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01903204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOCKPORT APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.