Jackson Meds Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JACKSON MEDS PHARMACY INC

Practice address

7066 Broadway
Jackson Heights, NY 11372-6134

Phone

(718) 450-1561

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ejaz Ahmad

Title

President

Phone

(718) 450-1561

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1811601958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7066 BROADWAY",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7066 BROADWAY",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726134",
            "telephone_number": "718-450-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEDS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "EJAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-450-1561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Heights Total Chiropractic PC
• Jackson Heights Vision Associates
• Jackson Heights Vision Express LLC
• Jackson Heights Wellness Chiro P.C.
• Jackson Medical, PLLC
• Jackson Pharmacy Inc.
• Charles Jackson, DMD
• Khishigzaya Jacobs
• Jag Orthotics & Prosthetics Inc
• Jai Jeen Rhee, M.D.

• Community/Retail Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.