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J & R Pharmacy P C

Durable Medical Equipment & Medical Supplies in Corona, CA · enumerated 2015 · authorized official Jacqueline Ibrahim, Ceo/Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306224662

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Registry record

Entity type Organization (Type 2)
Legal business name J & R Pharmacy P C
Other name <Unavail>
Practice address 770 Magnolia Ave Ste 1g, Corona, CA, 92879
Fax (951) 531-8043
Enumeration date May 7, 2015
Last updated in NPPES May 25, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHY55570 (CA) Secondary

Authorized official

Name Jacqueline Ibrahim
Title Ceo/Pic

Other identifiers

Identifier Type State Issuer
1780273425 Medicaid CA -
1780273425 Other CA IMMUNIZATION
1306224662 Medicaid CA -
2151943 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is J & R Pharmacy P C located?
The practice location on file with NPPES is in Corona, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-05-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-25.