MEDICARE: J & R DRUG INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	28RS00471500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2131788	OTHER		PK

General Provider Information

NPI Number	:	1194807909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & R DRUG INC

Provider Business Mailing Address
First Line	:	770 W SIDE AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-6602
Country	:	US
Telephone Number	:	201-333-0100
Fax Number	:	201-333-1722

Provider Business Practice Location Address
First Line	:	770 W SIDE AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-6602
Country	:	US
Telephone Number	:	201-333-0100
Fax Number	:	201-333-1722

Authorized Official
Title or Position	:	PIC
Name	:	JITENDRA PATEL
Credential	:	RPH
Telephone Number	:	201-333-0100

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	11/08/2023

Similar Medicare Providers

1871339614 — AHMED HASAN
Practice Location Address:

770 WESTSIDE AVE
JERSEY CITY, NJ
07306-6602

Practice Phone: 201-333-0100
Practice Fax:

1699635151 — AHMED ELHAGRASY RPH
Practice Location Address:

770 W SIDE AVE
JERSEY CITY, NJ
07306-6602

Practice Phone: 201-333-0100
Practice Fax:

1457359770 — DR. RICHARD EVAN JACKSON MD
Practice Location Address:

106 PINNACLE DR , SUITE 107
JOHNSON CITY, TN
37615-6602

Practice Phone: 423-328-7332
Practice Fax: 423-207-1222

1942296710 — SEABREEZE NURSING AND REHABILITATION LP
Practice Location Address:

6602 MEMORIAL DR
TEXAS CITY, TX
77591-4013

Practice Phone: 409-935-2451
Practice Fax: 409-938-0913

1073627816 — DR. ANGELA JANE SHELTON PHD
Practice Location Address:

106 PINNACLE DR , SUITE 106
JOHNSON CITY, TN
37615-6602

Practice Phone: 423-525-3771
Practice Fax:

1811158017 — DR. MARY SUE SUMMERS DVM
Practice Location Address:

1628 S POST RD
MIDWEST CITY, OK
73130-6602

Practice Phone: 405-732-4599
Practice Fax: 405-732-5078

Directions to “J & R DRUG INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.