Jac Pharmacy Inc
NPI 1679518781ActiveOrganization· Pharmacy· Jackson Heights, NY
Pharmacy in Jackson Heights, New York, registered in NPPES in June 2006. The authorized official on file is Jose Campon, JD, Legal.
Overview
| NPI | 1679518781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Aug 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 018088 | NY |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 018088 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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