Provider Demographics
NPI:1861714677
Name:JNCM RX INC
Entity type:Organization
Organization Name:JNCM RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-775-1800
Mailing Address - Street 1:1460 RITCHIE HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2704
Mailing Address - Country:US
Mailing Address - Phone:410-789-8454
Mailing Address - Fax:
Practice Address - Street 1:1460 RITCHIE HWY STE 103
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2704
Practice Address - Country:US
Practice Address - Phone:443-949-8373
Practice Address - Fax:443-949-8375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-20
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MDP050973336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2123899OtherPK
MD7506110001Medicare NSC