340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JAMAICARX, INC.
DSH330014K JAMAICA HOSPITAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
The Jamaica Hospital Mental Health Clinic
Type
Disproportionate Share Hospital
340B ID
DSH330014K
Entity Address
90-09 VanWyck Expressway
JAMAICA, NY 11418
Medicare Provider Number
330014
Outpatient Facility Provider Number
Participating Start Date
7/1/2014
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
JAMAICARX, INC.
Pharmacy Address
D/B/A MEDISYS RX PHARMACY
90-09 VAN WYCK EXPY
JAMAICA, NY 11435
Pharmacy Comments
Contract Details
Approval Date
7/5/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Contract Pharmacy Representative
jamaica
Halimur Khan, Supervising Pharmacist
(929) 499-3456
Signed By Date
7/5/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session