FARMACIA LATINA
NPI 1679518781
Pharmacy in Jackson Heights, NY

Q: What is Jac Pharmacy Inc's NPI number?

The NPI number for Jac Pharmacy Inc is 1679518781. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Farmacia Latina.

Q: What is Jac Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Jac Pharmacy Inc was last updated on August 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2006

9315 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 478-6863(718) 478-0093 Get Directions Write a Review

NPPES record last updated: August 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Farmacia Latina NPPES

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

FARMACIA LATINA (NPI 1679518781) is a healthcare organization registered as a pharmacy in Jackson Heights, New York and active in the NPI registry since June 2006. The organization lists Jose Campon, Legal, as its authorized official.

NPPES Registry Identity

NPI1679518781

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameJAC PHARMACY INC

Location Address9315 ROOSEVELT AVEJackson Heights, NY 11372-7943

Mailing Address9315 Roosevelt AveJackson Heights, NY 11372-7943 · (718) 478-7968 · Fax (718) 478-7969

Phone(718) 478-6863

Fax(718) 478-0093

Organization SubpartNo

Authorized OfficialJose CamponLegal · (516) 523-6948

Enumeration DateJune 20, 2006

Last NPPES UpdateAugust 13, 2017

✔ NPI 1679518781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 018088

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 018088 (NY)

9315 ROOSEVELT AVE, Jackson Heights, NY 11372

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Other Names 1

Doing Business AsFarmacia Latina

Other Identifiers 3

Medicaid00824075NY

Medicare NSC0770190001NY

Other3379511Ncpdp

Medical Equipment Supplier Medicare DMEPOS 17

Medicare supplier enrollment and the product categories Jac Pharmacy & Surgical Supplies carries, from the Medicare DMEPOS supplier directory.

Jac Pharmacy & Surgical Supplies

DMEPOS supplier · Jackson Heights, NYOperated by Elite Rx Management LLC

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Does not accept Medicare assignment

Jac Pharmacy & Surgical Supplies has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20483189

Medicare Participant SinceJune 11, 2015

Supplier Location9315 Roosevelt AveJackson Heights, NY 11372

Phone(718) 478-6863

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 6

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

MS. LUCIA ALVA PHYSICIAN ASSISTANT

Physician Assistant (Medical)