Healthcare Provider Details

I. General information

NPI: 1356057376
Provider Name (Legal Business Name): JMD PHARMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 E MEADOW AVE
EAST MEADOW NY
11554-2937
US

IV. Provider business mailing address

291 E MEADOW AVE
EAST MEADOW NY
11554-2937
US

V. Phone/Fax

Practice location:
  • Phone: 516-246-9732
  • Fax: 516-246-9734
Mailing address:
  • Phone: 516-246-9732
  • Fax: 516-246-9734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FNU SAMINA
Title or Position: PRESIDENT
Credential:
Phone: 516-246-9732