MJJ Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030420 Issued in NY

Legal business name

MJJ PHARMACY INC

Practice address

25310 Hillside Ave
Bellerose, NY 11426-2152

Phone

(718) 413-7077

Fax

(718) 413-4757

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Joel George

Title

President

Phone

(516) 660-9380

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Express Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1730489956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25310 HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262152",
            "telephone_number": "718-413-7077",
            "fax_number": "718-413-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25310 HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262152",
            "telephone_number": "718-413-7077",
            "fax_number": "718-413-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJJ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-660-9380"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03292748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5801306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metroplex Medical Care PC
• Jalil A Minhas, RPH.
• Mishkin Miller Forman PC
• Hannah Rose Mitchell, LCSW
• Mjet Services Corp
• Rani Jacob Modayil, M.D.
• Veena Asha Modayil, M.D.
• Hena M Montalbo, RPH
• Yolanda M Moorjaney, MS,ED
• Kelly A Morel III, MA, CCC-SLP/TSSLD

• Community/Retail Pharmacy in Bellerose, NY
• Providers in Bellerose, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.