Individual provider Active NPI

Jimy He, RPH

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1245845262
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066908 Issued in NY
Practice address
3060 Boston Rd
Bronx, NY 10469-4038
Phone
(347) 590-1030
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066908 NY Primary

Addresses

Primary practice location

3060 Boston Rd
Bronx, NY 10469-4038

Mailing address

16 Shadow LN
Great Neck, NY 11021-2511
Phone (516) 448-8539

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
066908NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Uaj RX Corporation CurrentSince Oct 5, 2025 Accepting new patients
Urvi Pharmacy Inc PastSince Sep 20, 2020 Accepting new patients

Locations

3060 Boston Rd
Bronx, NY 10469
Phone (347) 590-1030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1245845262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SHADOW LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212511",
            "telephone_number": "516-448-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694038",
            "telephone_number": "347-590-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "JIMY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066908",
            "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 Sep 15, 2020; 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.