Healthcare Provider Details

I. General information

NPI: 1649216532
Provider Name (Legal Business Name): JAY AKAY RX CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 WYCKOFF AVE
BROOKLYN NY
11237-6005
US

IV. Provider business mailing address

820 WYCKOFF AVE
BROOKLYN NY
11237-6005
US

V. Phone/Fax

Practice location:
  • Phone: 718-456-3156
  • Fax: 718-417-7159
Mailing address:
  • Phone: 718-456-3156
  • Fax: 718-417-7159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number019683
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SYED KAZMI
Title or Position: PRESIDENT
Credential:
Phone: 718-456-3156