Jewish Home Lifecare, Harry & Jeanette Weinberg Campus, Bron

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

013945 Issued in NY

Legal business name

JEWISH HOME LIFECARE, HARRY & JEANETTE WEINBERG CAMPUS, BRON

Practice address

C/O Pharmacy
Bronx, NY 10468-4066

Phone

(718) 410-1289

Fax

(718) 410-1850

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Renee Hofman, MS, RPH

Title

Senior Director, Pharmacy

Phone

(718) 410-1289

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jewish Home Lifecare -Bronx (pharmacy) Doing business as

Tax ID family

Jewish Home Lifecare -Bronx 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.

• The Jewish Home & Hospital-Bronx Division

  • Non-emergency Medical Transport (VAN)
  • Bronx, NY
  • NPI 1205901329
  NPD tax ID

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1144325002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W KINGSBRIDGE RD",
            "address_2": "FINANCE DEPT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O PHARMACY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684066",
            "telephone_number": "718-410-1289",
            "fax_number": "718-410-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME LIFECARE, HARRY & JEANETTE WEINBERG CAMPUS, BRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "HOFMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, PHARMACY",
        "authorized_official_telephone_number": "718-410-1289",
        "authorized_official_credential": "MS, RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "013945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063426",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724730",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Home Lifecare -Bronx (pharmacy)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jewish Home Lifecare Community Services
• Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
• Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
• Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
• Jewish Home Lifecare, Community Services
• Jewish Home Lifecare, Manhattan
• Jewish Home Lifecare, Manhattan
• Jewish Home Lifecare, University Avenue Assisted Living, Inc.
• JG Vision Associates,Inc
• JGB Health Facilities Corp.

• Long Term Care Pharmacy in Bronx, NY
• Providers in Bronx, 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 Apr 6, 2016; 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.