St. Jesus Pharmacy Corp

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ST. JESUS PHARMACY CORP

Doing business as

St Jesus Pharmacy LTC

Practice address

4180 Broadway
New York, NY 10033-3767

Phone

(212) 923-5733

Fax

(212) 923-5748

NPI assigned

Oct 18, 2024

Last updated

Oct 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Viraj Desai

Title

President

Phone

(212) 923-5733

Specialties & licenses 1

Addresses

Other names 1

• ST JESUS PHARMACY LTC Doing business as

Tax ID family

St Jesus Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Jesus Pharmacy Corp

  dba St. Jesus Pharmacy

  • Pharmacy
  • New York, NY
  • NPI 1144927757
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dhvani Desai, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1154552313
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1083435416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333767",
            "telephone_number": "212-923-5733",
            "fax_number": "212-923-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333767",
            "telephone_number": "212-923-5733",
            "fax_number": "212-923-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JESUS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "VIRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-923-5733"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JESUS PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan St. Fleur
• St. Francis Counseling Center
• Jonathan St. George, MD
• Andrew St. Hilaire, DDS
• Stephen St. James, DDS
• St. Jesus Pharmacy Corp (St. Jesus Pharmacy)
• Evelyne Magali St. John Sutton, M.D.
• Dora-Lisah St. John, LMSW
• Jessica St. John, MSW
• Nicole St. John, OTR/L

• Long Term Care Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.