Organization Active NPI

Gem Drug Corporation

  • Community/Retail Pharmacy
  • Albany, NY
National Provider Identifier
1992895692
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019969 Issued in NY
Legal business name
GEM DRUG CORPORATION
Practice address
300 Morton Ave
Albany, NY 12209-2220
Phone
(518) 465-2253
Fax
(518) 465-2278
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Mr. Jalal Jainulabudeen, R.PH
Title
President/Sup.Pharmacist
Phone
(518) 465-2253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 019969 NY Primary

Addresses

Primary practice location

300 Morton Ave
Albany, NY 12209-2220

Mailing address

300 Morton Ave
Albany, NY 12209-2220
Phone (518) 465-2253

Other identifiers 1

IdentifierTypeStateIssuer
01100201MedicaidNY

Other names 1

  • Lincoln 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
O20100930047172 NY DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 7810106226 Practice locations: Albany, NY
O20190619000546 NY Part B Supplier - Pharmacy 7810106226 Practice locations: Albany, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1992895692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MORTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122092220",
            "telephone_number": "518-465-2253",
            "fax_number": "518-465-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MORTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122092220",
            "telephone_number": "518-465-2253",
            "fax_number": "518-465-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM DRUG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "JAINULABUDEEN",
        "authorized_official_first_name": "JALAL",
        "authorized_official_title_or_position": "PRESIDENT/SUP.PHARMACIST",
        "authorized_official_telephone_number": "518-465-2253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01100201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.