Active NPI
Gem Drug Corporation
- Community/Retail Pharmacy
- Albany, NY
National Provider Identifier
1992895692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 019969
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01100201 | Medicaid | NY |
Other names 1
- Lincoln Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930047172 | NY | DME Supplier - Pharmacy | 7810106226 | Practice locations: Albany, NY |
| O20190619000546 | NY | Part B Supplier - Pharmacy | 7810106226 | Practice locations: Albany, NY |
National Provider Directory
National Provider DirectoryNPI 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.