Organization Active NPI

Jerome Ave Pharmacy LLC.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1760035497
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JEROME AVE PHARMACY LLC.
Doing business as
Tammy Care Pharmacy
Practice address
2641 Jerome Ave
Store #2
Bronx, NY 10468-4349
Phone
(718) 933-4000
Fax
(718) 933-4001
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Umar Farooq
Title
Owner
Phone
(718) 933-4000

Specialties & licenses 1

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

Addresses

Primary practice location

2641 Jerome Ave
Store #2
Bronx, NY 10468-4349

Mailing address

2641 Jerome Ave
Store #2
Bronx, NY 10468-4349
Phone (718) 933-4000

Other names 1

  • Tammy Care Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200102002133 NY DME Supplier - Pharmacy 2668806423 Practice locations: Bronx, NY
O20230929000051 NY Part B Supplier - Pharmacy 2668806423 Practice locations: Bronx, 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
Jerome Ave Pharmacy LLC2641 Jerome Ave, Bronx, NY 10468-4349(718) 933-4000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 3, 2019

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2641 Jerome Ave
Bronx, NY 10468
Phone (718) 933-4000

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1760035497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 JEROME AVE",
            "address_2": "STORE #2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684349",
            "telephone_number": "718-933-4000",
            "fax_number": "718-933-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 JEROME AVE",
            "address_2": "STORE #2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684349",
            "telephone_number": "718-933-4000",
            "fax_number": "718-933-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME AVE PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "UMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-933-4000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tammy Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tammy Care 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 Oct 31, 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.