Jacob Adityanarayan Joseph, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

071324 Issued in NY

Practice address

9612 Liberty Ave
Ozone Park, NY 11417-1624

Phone

(718) 480-6260

Fax

(718) 691-4917

NPI assigned

Jan 30, 2024

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marvel Pharmacy Inc

  • Pharmacy
  • Ozone Park, NY
  • NPI 1679182349
  NPD
• Vanguard Pharmacy Inc

  • Community/Retail Pharmacy
  • Ozone Park, NY
  • NPI 1770283236
  NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1952164394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13146 HOOK CREEK BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221466",
            "telephone_number": "646-705-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171624",
            "telephone_number": "718-480-6260",
            "fax_number": "718-691-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JACOB",
        "middle_name": "ADITYANARAYAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Johnson
• Robin Monique Johnson
• Joseph P. Addabbo Family Health Center, Inc.
• Mitasha Catherine Joseph-Sohan, NP
• Aly Joseph
• JPM Physical Therapy, PC
• Bianca Julien, NP
• Kathleen Kammerer
• Kaninghat Prasanth Physician PLLC (Horizon Pediatrics)
• Merrill C Kaufman, D.O.

• Pharmacist in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.