MEDICARE: JERSEY MEDS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1427987932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JERSEY MEDS PHARMACY INC

Provider Business Mailing Address
First Line	:	15 VROOM ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2006
Country	:	US
Telephone Number	:	201-416-4214
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 VROOM ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2006
Country	:	US
Telephone Number	:	201-416-4214
Fax Number	:

Authorized Official
Title or Position	:	RPH
Name	:	YAMEN SHEHADEH
Credential	:
Telephone Number	:	201-754-2992

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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