Provider Demographics
NPI:1114086923
Name:JANMI PHARMACY INC
Entity Type:Organization
Organization Name:JANMI PHARMACY INC
Other - Org Name:HANNAS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GUIBAS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:718-634-0273
Mailing Address - Street 1:20220 ROCKAWAY POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11697-1113
Mailing Address - Country:US
Mailing Address - Phone:718-634-0273
Mailing Address - Fax:
Practice Address - Street 1:20220 ROCKAWAY POINT BLVD
Practice Address - Street 2:
Practice Address - City:ROCKAWAY POINT
Practice Address - State:NY
Practice Address - Zip Code:11697-1113
Practice Address - Country:US
Practice Address - Phone:718-634-0273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0195593336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBJ1262144OtherDEA NUMBER