Provider Demographics
NPI:1013401058
Name:JHA PHARMA LLC
Entity Type:Organization
Organization Name:JHA PHARMA LLC
Other - Org Name:MELLOR'S DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RATHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEERAMACHANANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-780-7210
Mailing Address - Street 1:123 LAIDLAW AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2512
Mailing Address - Country:US
Mailing Address - Phone:201-780-7210
Mailing Address - Fax:
Practice Address - Street 1:3350 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-2034
Practice Address - Country:US
Practice Address - Phone:718-277-5371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy