Jackson Ave Drugs Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

JACKSON AVE DRUGS INC

Practice address

660 Westchester Ave
Bronx, NY 10455-1603

Phone

(718) 484-8553

Fax

(718) 484-8554

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Ibrar Ahmad

Title

Manager

Phone

(718) 484-8553

Specialties & licenses 1

Addresses

Other names 1

• HEALTH MART PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• Fatima Musah

  • Pharmacist
  • Bronx, NY
  • NPI 1043004484
  NPD
• Ummeayman Tayabali

  • Pharmacist
  • Bronx, NY
  • NPI 1447109285
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1790479442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551603",
            "telephone_number": "718-484-8553",
            "fax_number": "718-484-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551603",
            "telephone_number": "718-484-8553",
            "fax_number": "718-484-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON AVE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IBRAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-484-8553"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Jablon
• Meghan Marie Jablonski
• Tiffany Jack
• Emily Jackness
• Jackson Asmoah
• Wendi Cheryl Jackson Smith
• Jonell Jackson-Manu, RN
• Rhayvan Jackson-Terrell, LCSW
• Alina Kelly Jackson, LMHC
• Allison Jackson

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.