Organization Active NPI

J a K Pharma Inc

Doing business as Arthur Avenue Pharmacy

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1780089599
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
033293 Issued in NY
Legal business name
J A K PHARMA INC
Doing business as
Arthur Avenue Pharmacy
Practice address
2343 Arthur Ave
Bronx, NY 10458-8111
Phone
(718) 561-4040
Fax
(718) 561-5237
NPI assigned
Oct 23, 2014
Last updated
Mar 7, 2023By the provider in NPPES
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
Rathna Veeramachanani
Title
President
Phone
(718) 561-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 033293 NY Primary

Addresses

Primary practice location

2343 Arthur Ave
Bronx, NY 10458-8111

Mailing address

2343 Arthur Ave
Bronx, NY 10458-8111
Phone (718) 561-4040

Other identifiers 2

IdentifierTypeStateIssuer
04017121MedicaidNY
5812652OtherNYNCPDP

Other names 1

  • ARTHUR AVENUE 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
O20150724010238 NY DME Supplier - Pharmacy 4183937881 Practice locations: Bronx, NY
O20210126001579 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4183937881 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
J a K Pharma Inc2343 Arthur Ave, Bronx, NY 10458-8111(718) 561-4040 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 12, 2015

National Provider Directory

National Provider Directory

Locations

2343 Arthur Ave
Bronx, NY 10458
Phone (718) 561-4040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780089599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588111",
            "telephone_number": "718-561-4040",
            "fax_number": "718-561-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588111",
            "telephone_number": "718-561-4040",
            "fax_number": "718-561-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J A K PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VEERAMACHANANI",
        "authorized_official_first_name": "RATHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-561-4040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "033293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04017121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5812652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARTHUR AVENUE 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 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.