Organization Active NPI

Bright St. Pharmacy & Mini Market LLC

Doing business as Medina Pharmacy

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1376021188
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00765800 Issued in NJ
Legal business name
BRIGHT ST. PHARMACY & MINI MARKET LLC
Doing business as
Bright St. Pharmacy & Mini Market LLC
Medina Pharmacy
Practice address
2800 John F Kennedy Blvd
Jersey City, NJ 07306-5402
Phone
(201) 333-9900
Fax
(201) 333-9004
NPI assigned
Aug 2, 2018
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Miss Aatika Chaudhry
Title
Owner
Phone
(201) 333-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00765800 NJ Primary

Addresses

Primary practice location

2800 John F Kennedy Blvd
Jersey City, NJ 07306-5402

Mailing address

2800 John F Kennedy Blvd
Jersey City, NJ 07306-5402
Phone (201) 333-9900

Other identifiers 1

IdentifierTypeStateIssuer
8869227MedicaidNJ

Other names 2

  • Bright St. Pharmacy & Mini Market LLC Doing business as
  • Medina Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL switch Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210212001206 NJ DME Supplier - Pharmacy 8325453962 Practice locations: Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medina Pharmacy2800 John F Kennedy Blvd, Jersey City, NJ 07306-5402(201) 333-9900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 10, 2021

National Provider Directory

National Provider Directory

Locations

2800 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 333-9900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1376021188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065402",
            "telephone_number": "201-333-9900",
            "fax_number": "201-333-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065402",
            "telephone_number": "201-333-9900",
            "fax_number": "201-333-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT ST. PHARMACY & MINI MARKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "AATIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-333-9900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00765800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8869227",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "switch",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2800 John F Kennedy Blvd",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073065402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bright St. Pharmacy & Mini Market LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright St. Pharmacy & Mini Market LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.