Provider Demographics
NPI:1710361068
Name:JAMAICARX, INC
Entity Type:Organization
Organization Name:JAMAICARX, INC
Other - Org Name:CLOCK TOWER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOUNIR
Authorized Official - Middle Name:F
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-206-6291
Mailing Address - Street 1:9120 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-1527
Mailing Address - Country:US
Mailing Address - Phone:718-322-1580
Mailing Address - Fax:718-322-1581
Practice Address - Street 1:9120 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1527
Practice Address - Country:US
Practice Address - Phone:718-322-1580
Practice Address - Fax:718-322-1581
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDISYS VENTURES,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-16
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04397182Medicaid
NY5874420002Medicare NSC