Provider Demographics
NPI:1336284645
Name:JP PHARMACY INC
Entity Type:Organization
Organization Name:JP PHARMACY INC
Other - Org Name:ARGO DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:DIMITRIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:DAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARM
Authorized Official - Phone:718-357-4039
Mailing Address - Street 1:19417 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3032
Mailing Address - Country:US
Mailing Address - Phone:718-357-4039
Mailing Address - Fax:
Practice Address - Street 1:19417 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3032
Practice Address - Country:US
Practice Address - Phone:718-357-4039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0186003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00934478Medicaid
NY3383560OtherNABP