J and J Pharmacy Corporation

Key facts

NPI: 1770335705
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
Legal business name: J AND J PHARMACY CORPORATION
Practice address: 39 S Main St
New City, NY 10956-3562
Phone: (914) 310-5780
NPI assigned: Apr 3, 2024
Organization subpart: No

Authorized official

Name: Jimmy Thomas NPI 1679895064
Title: Pharmacist
Phone: (914) 310-5780

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

Practitioners 1

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

Jimmy Thomas Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Chestnut RDG, NY · NPI 1679895064

NPD Authorized official

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
J and J Pharmacy Corporation 39 S Main St, New City, NY 10956-3562 · (845) 323-4368	Epoetin\|Immunosuppressive Drugs\|Infusion Drugs\|Nebulizer Drugs\|Oral Anticancer Drugs\|Oral Antiemetic Drugs	Does not accept assignment Participating since Sep 17, 2024

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20241019000069	NY	Part B Supplier - Pharmacy	9436681137	Practice locations: New City, NY
O20250313000182	NY	DME Supplier - Pharmacy	9436681137	Practice locations: New City, NY

National Provider Directory

Locations

39 S Main St
New City, NY 10956
Phone (845) 323-4368

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X			Yes

Addresses

Primary practice location

39 S Main St
New City, NY 10956-3562

Mailing address

39 S Main St
New City, NY 10956-3562
Phone (914) 310-5780

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All providers in New City, NY · Community/Retail Pharmacy in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.