Active NPI
Jerome Ave Pharmacy LLC.
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1760035497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Jerome Ave Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember 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.