MEDICARE: JM PHARMACY CORP

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	3336L0003X	Long Term Care Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1568218691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JM PHARMACY CORP

Provider Business Mailing Address
First Line	:	437 N EUCLID AVE STE B
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3456
Country	:	US
Telephone Number	:	909-983-3001
Fax Number	:	909-983-3009

Provider Business Practice Location Address
First Line	:	437 N EUCLID AVE STE B
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3456
Country	:	US
Telephone Number	:	214-901-3773
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOSEPH CHARBEL
Credential	:
Telephone Number	:	909-983-3001

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	03/24/2026

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Directions to “JM PHARMACY CORP ” Practice Location

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