Organization Active NPI

JP Photo and Beauty Supplies Corp.

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1295722007
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
027314 Issued in NY
Legal business name
JP PHOTO AND BEAUTY SUPPLIES CORP.
Practice address
72 E 167TH St
Bronx, NY 10452-8203
Phone
(718) 538-8100
Fax
(718) 538-8118
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mr. Robert Lee
Title
President
Phone
(718) 538-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 027314 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 027314 NY

Addresses

Primary practice location

72 E 167TH St
Bronx, NY 10452-8203

Mailing address

72 E 167TH St
Bronx, NY 10452-8203
Phone (718) 538-8100

Other identifiers 2

IdentifierTypeStateIssuer
02707495MedicaidNY
3346613OtherNYNABP

Other names 1

  • Scriptx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

72 E 167th St
Bronx, NY 10452
Phone (718) 538-8100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1295722007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528203",
            "telephone_number": "718-538-8100",
            "fax_number": "718-538-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528203",
            "telephone_number": "718-538-8100",
            "fax_number": "718-538-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP PHOTO AND BEAUTY SUPPLIES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-538-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027314",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "027314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02707495",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3346613",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scriptx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 2007; 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.