OrganizationJ & R Drug Inc(<Unavail>)PharmacySuppliersPractice Address770 W Side Ave, Jersey City, NJ 07306-6602(201) 333-0100PECOS EnrollmentBased on the most recent information from CMS, provider J & R Drug Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194807909Provider TypeOrganizationFull NameJ & R Drug IncOther Name<Unavail>SubpartNoEnumeration Date10/20/2006Last Updated11/8/2023Contact InformationPractice LocationPractice Address770 W Side Ave, Jersey City, NJ 07306-6602Phone(201) 333-0100Fax(201) 333-1722Mailing LocationMailing Address770 W Side Ave, Jersey City, NJ 07306-6602Phone(201) 333-0100Fax(201) 333-1722Authorized OfficialNamePatel, Jitendra (Pic)Phone(201) 333-0100Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00471500New JerseyCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0279722DescriptionMedicaidIssuerUnlistedNew JerseyID2131788DescriptionOtherIssuerPK