Healthcare Provider Details

I. General information

NPI: 1568218691
Provider Name (Legal Business Name): JM PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 N EUCLID AVE STE B
ONTARIO CA
91762-3456
US

IV. Provider business mailing address

437 N EUCLID AVE STE B
ONTARIO CA
91762-3456
US

V. Phone/Fax

Practice location:
  • Phone: 909-983-3001
  • Fax: 909-983-3009
Mailing address:
  • Phone: 909-983-3001
  • Fax: 909-983-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH CHARBEL
Title or Position: CEO
Credential:
Phone: 909-983-3001