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ST.JUDE PHARMACY
NPI 1104377571
Pharmacy - Specialty Pharmacy in Brooklyn, NY

Active since October 20, 2016CLIA 33D2184645 · Waiver
121 SAINT NICHOLAS AVE, BROOKLYN, NY 11237(718) 381-5116 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St.jude Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST.JUDE PHARMACY (NPI 1104377571) is a healthcare organization registered as a specialty pharmacy in Brooklyn, New York and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Rathna Veeramachanani, President, as its authorized official.

NPPES Registry Identity

NPI1104377571
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameJOJAN PHARMA INC
Location Address121 SAINT NICHOLAS AVEBrooklyn, NY 11237-4043
Mailing Address121 Saint Nicholas AveBrooklyn, NY 11237-4043 · (718) 381-5116
Phone(718) 381-5116
Organization SubpartNo
Authorized OfficialRathna VeeramachananiPresident · (201) 780-7210
Enumeration DateOctober 20, 2016
✔ NPI 1104377571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
License✔ Licensed in NY · 030756
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
121 SAINT NICHOLAS AVE, Brooklyn, NY 11237
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Other Names 1

Doing Business AsSt.jude Pharmacy

Other Identifiers 2

Medicaid03305451NY
Medicare NSC6580890001NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2184645

Jojan Pharma Inc · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2184645
Laboratory TypePharmacy
Certificate Effective DateMay 22, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Joseph Thomas
Laboratory Phone(718) 381-5116
Laboratory LocationJojan Pharma Inc121 St Nicholas Ave, Brooklyn, NY 11237
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories St. Jude Pharmacy carries, from the Medicare DMEPOS supplier directory.

St. Jude Pharmacy

DMEPOS supplier · Brooklyn, NYOperated by Jojan Pharma Inc
✔

Accepts Medicare assignment

St. Jude Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20410115
Medicare Participant SinceNovember 29, 2020
Supplier Location121 St. Nicholas AvenueBrooklyn, NY 11237
Phone(718) 381-5116
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TING LIN RPH
Pharmacist
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (718) 381-5116
MS. MELISSA ROSE SAMIDE
Pharmacist
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (718) 381-5116
BIJUMON KEZHAPLACKAL GREGORY
Pharmacist
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (718) 381-5116
RAMIN KOHANSIMEH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (718) 381-5116
DR. SEAN ZHANG PHARM D
Pharmacist
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (718) 381-5116
JOJAN PHARMA INC
Pharmacy (Community/Retail Pharmacy)
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (201) 780-7210
MITCHELL CHERVIN
Pharmacist
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (718) 381-5116
MIN GUK YOO PHARMD
Pharmacist
121 SAINT NICHOLAS AVE
BROOKLYN, NY 11237
Kings County (718) 381-5116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jojan Pharma Inc's NPI number?

The NPI number for Jojan Pharma Inc is 1104377571. It was assigned to this organization in the NPPES registry on October 20, 2016. The provider is doing business as St.Jude Pharmacy.

Where is Jojan Pharma Inc located?

Jojan Pharma Inc is located at 121 Saint Nicholas Ave, Brooklyn, NY 11237. The listed phone number is (718) 381-5116.

What is Jojan Pharma Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Jojan Pharma Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, St. Jude Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Jojan Pharma Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2184645) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jojan Pharma Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 30 other insurers list Jojan Pharma Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jojan Pharma Inc was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.