St. Jesus Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ST. JESUS PHARMACY CORP

Practice address

4180 Broadway
New York, NY 10033-3767

Phone

(212) 923-5733

NPI assigned

Feb 14, 2023

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 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

  • Long Term Care Pharmacy
  • New York, NY
  • NPI 1083435416
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dhvani Desai, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1154552313
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1144927757",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JESUS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JESUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. JESUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.