Provider Demographics
NPI:1538243803
Name:JEMS PHARMA LLC
Entity type:Organization
Organization Name:JEMS PHARMA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSUBAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-386-0141
Mailing Address - Street 1:301 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4411
Mailing Address - Country:US
Mailing Address - Phone:609-386-1111
Mailing Address - Fax:609-239-8457
Practice Address - Street 1:301 HIGH STREET
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4411
Practice Address - Country:US
Practice Address - Phone:609-386-1111
Practice Address - Fax:609-239-8457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
NJ28RS004583003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4284402Medicaid
2139067OtherPK