Jackson Ave Drugs Inc
NPI 1790479442ActiveOrganization· Pharmacy· Bronx, NY
Pharmacy in Bronx, New York, registered in NPPES in June 2023. The authorized official on file is Ibrar Ahmad, Manager. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.
Overview
| NPI | 1790479442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2023 |
| Last updated in NPPES | Jun 6, 2023 |
| Certified by provider | Jun 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Pharmacy (NY) |
|---|
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