Organization
JAM PHARMACY CORP
Active
Other names
Jam Pharmacy Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM MUSHIYEV (PRESIDENT)
(718) 840-9186
Entity
Organization
Contact information
Practice address
13410A GUY R BREWER BLVD, JAMAICA, NY 11434-3728
(718) 840-9186
(718) 527-2401
Mailing address
13410A GUY R BREWER BLVD, JAMAICA, NY 11434-3728
(718) 840-9186
(718) 527-2401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
036198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177088
PK
—
Enumeration date
01/03/2018
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us