JAGLO PHARMACY INC NPI 1144380585

NPI Information

  • NPI: 1144380585
  • Provider Name: JAGLO PHARMACY INC
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Doing Business As: ROCKVILLE CENTRE PHARMACY
  • CLIA Number: 33D2184168
  • Address: 30 HEMPSTEAD AVE
    SUITE 156
    ROCKVILLE CENTRE, NY
    ZIP 11570
  • Phone: (516) 764-6161

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NPI Details

JAGLO PHARMACY INC is a pharmacist in Rockville Centre, NY. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. JAGLO PHARMACY INC NPI is 1144380585. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rockville Centre Pharmacy.

The provider's business location address is:

30 HEMPSTEAD AVE
SUITE 156
ROCKVILLE CENTRE, NY
ZIP 11570-033
Phone: (516) 764-6161
Fax: (516) 678-3246

The provider's authorized official is Howard Bruce Jacobson .
The authorized official title is President and has the following contact phone number (516) 764-6161.

The CLIA number assigned to this NPI record is 33D2184168 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)

The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist019511NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101027870MEDICAIDNEW YORK
23390337OTHERNEW YORKNCPDP

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: 3/30/2025

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