Provider Demographics
NPI:1366806853
Name:JAMMZ CHEMISTS LLC
Entity type:Organization
Organization Name:JAMMZ CHEMISTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER/AO
Authorized Official - Prefix:
Authorized Official - First Name:MAZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-836-8886
Mailing Address - Street 1:724 ELTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-1687
Mailing Address - Country:US
Mailing Address - Phone:917-836-8886
Mailing Address - Fax:214-983-1200
Practice Address - Street 1:9669 N CENTRAL EXPY STE 190
Practice Address - Street 2:SUITE 190
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5056
Practice Address - Country:US
Practice Address - Phone:214-983-1000
Practice Address - Fax:214-983-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336H0001X, 3336S0011X
TX307623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149512Medicaid
2159495OtherPK