MEDICARE: JAMMZ CHEMISTS LLC

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	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336H0001X	Home Infusion Therapy Pharmacy
4	3336S0011X	Specialty Pharmacy
5	3336C0003X	Community/Retail Pharmacy	30762	TX

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	2159495	OTHER		PK

General Provider Information

NPI Number	:	1366806853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMMZ CHEMISTS LLC

Provider Business Mailing Address
First Line	:	724 ELTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-1687
Country	:	US
Telephone Number	:	917-836-8886
Fax Number	:	214-983-1200

Provider Business Practice Location Address
First Line	:	9669 N CENTRAL EXPY STE 190
Second Line	:	SUITE 190
City	:	DALLAS
State	:	TX
Zip	:	75231-5056
Country	:	US
Telephone Number	:	214-983-1000
Fax Number	:	214-983-1200

Authorized Official
Title or Position	:	CEO/FOUNDER/AO
Name	:	MAZEN KARNABY
Credential	:
Telephone Number	:	917-836-8886

Provider Enumeration Date	:	04/11/2016
Last Update Date	:	10/25/2023

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Directions to “JAMMZ CHEMISTS LLC ” Practice Location

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