340B Drug Pricing Program Database
JAMAICARX, INC.
DSH330014H JAMAICA HOSPITAL MEDICAL CENTER - information as of 6/2/2025 8:57:17 AM
Covered Entity Details
Entity Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
MEDISYS SENIOR HEALTH CARE CENTER (OZONE PK CLOCKTOWER)
Type
Disproportionate Share Hospital
340B ID
DSH330014H
Entity Address
91-20 ATLANTIC AVENUE
OZONE PARK, NY 11416
Medicare Provider Number
330014
Outpatient Facility Provider Number
Participating Start Date
9/1/2008
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
JAMAICARX, INC.
Pharmacy Address
CLOCK TOWER PHARMACY
91-20 ATLANTIC AVE
OZONE PARK, NY 11416
Pharmacy Comments
Contract Details
Approval Date
1/5/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Contract Pharmacy Representative
jamaica
Vincent Grieco, Pharmacist
(347) 723-5731
Signed By Date
1/5/2016
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