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JOJAN PHARMA INC NPI 1104377571


NPI Information

NPI: 1104377571
Provider Name: JOJAN PHARMA INC

Doing Business As: ST.JUDE PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 33D2184645

Address:
121 SAINT NICHOLAS AVE
BROOKLYN, NY
ZIP 11237
Phone: (718) 381-5116
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JOJAN PHARMA INC is a specialty pharmacy pharmacy in Brooklyn, NY. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. JOJAN PHARMA INC NPI is 1104377571. The provider is registered as an organization entity type.
The provider Is Doing Business As St.jude Pharmacy.

The provider's business location address is:

121 SAINT NICHOLAS AVE
BROOKLYN, NY
ZIP 11237-043
Phone: (718) 381-5116

The provider's authorized official is Rathna Veeramachanani .
The authorized official title is President and has the following contact phone number (201) 780-7210.

The CLIA number assigned to this NPI record is 33D2184645 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336S0011XPharmacySpecialty Pharmacy030756NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103305451MEDICAIDNEW YORK
26580890001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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