Healthcare Provider Details

I. General information

NPI: 1962489591
Provider Name (Legal Business Name): JAY DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CENTRAL ST
GEORGETOWN MA
01833-2407
US

IV. Provider business mailing address

50 CENTRAL ST
GEORGETOWN MA
01833-2407
US

V. Phone/Fax

Practice location:
  • Phone: 978-352-2121
  • Fax: 978-352-2146
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number14631
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3001
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH LAMONICA
Title or Position: OWNER
Credential: RPPH
Phone: 978-352-2121