Active NPI
Ricky Jordy Jimenez Alvarez
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1144054388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 041092
- Practice address
- 8 W Burnside Ave
Bronx, NY 10453-4004 - Phone
- (718) 484-8590
- Fax
- (718) 484-8589
- NPI assigned
- Aug 29, 2024
- Last updated
- Aug 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 041092 | NY | Primary |
Addresses
Primary practice location
8 W Burnside Ave
Bronx, NY 10453-4004
Mailing address
8 W Burnside Ave
Bronx, NY 10453-4004
Phone (718) 484-8590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041092 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJRX Inc. | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
8 W Burnside Ave
Bronx, NY 10453
Phone (718) 484-8590
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1144054388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 W BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534004",
"telephone_number": "718-484-8590",
"fax_number": "718-484-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 W BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534004",
"telephone_number": "718-484-8590",
"fax_number": "718-484-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ ALVAREZ",
"first_name": "RICKY",
"middle_name": "JORDY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-29",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "041092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.