Organization Active NPI

Yj Pharmacy Inc

Doing business as White Plains Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1457910663
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
YJ PHARMACY INC
Doing business as
White Plains Pharmacy
Practice address
1207 White Plains Rd
Bronx, NY 10472-4903
Phone
(347) 220-5441
NPI assigned
Jun 11, 2019
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Magdi Ebrahim Al Shareqi
Title
President
Phone
(718) 409-4684

Specialties & licenses 1

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

Addresses

Primary practice location

1207 White Plains Rd
Bronx, NY 10472-4903

Mailing address

1207 White Plains Rd
Bronx, NY 10472-4903
Phone (718) 409-1338

Other names 1

  • WHITE PLAINS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190906000625 NY DME Supplier - Pharmacy 5991034654 Practice locations: Bronx, NY
O20230612000222 NY Part B Supplier - Pharmacy 5991034654 Practice locations: Bronx, NY

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
Yj Pharmacy Inc1207 White Plains Rd, Bronx, NY 10472-4903(718) 409-1338 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 17, 2023

National Provider Directory

National Provider Directory

Locations

1207 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

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": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1457910663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104724903",
            "telephone_number": "718-409-1338",
            "fax_number": "718-409-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104724903",
            "telephone_number": "347-220-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YJ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "AL SHAREQI",
        "authorized_official_first_name": "MAGDI",
        "authorized_official_middle_name": "EBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-409-4684"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE PLAINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WHITE PLAINS 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 May 3, 2023; 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.