Healthcare Provider Details

I. General information

NPI: 1235103185
Provider Name (Legal Business Name): 222 JAMAICA ECONOMY DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 06/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 21 JAMAICA AVE
QUEENS VILLAGE NY
11428-2097
US

IV. Provider business mailing address

221 21 JAMAICA AVE
QUEENS VILLAGE NY
11428-2097
US

V. Phone/Fax

Practice location:
  • Phone: 718-465-5196
  • Fax: 718-468-7782
Mailing address:
  • Phone: 718-465-5196
  • Fax: 718-468-7782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number022153
License Number StateNY

VIII. Authorized Official

Name: ARTHUR WEINER
Title or Position: PRESIDENT
Credential: RPH
Phone: 718-465-5196