Justina and Jong Enterprises, Inc.
Organization Active NPI Pharmacist · Somers, NY
NPI 1487710604 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487710604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 035448 (NY)
- Legal business name
- JUSTINA AND JONG ENTERPRISES, INC.
- Practice address
- 4 Heritage Hills 202 Ctr
Somers, NY 10589-1600 - Phone
- (914) 276-3987
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Justina Lee, R.PH
- Title
- President
- Phone
- (914) 276-3987
National Provider Directory
Locations
4 Heritage Hills 202 Ctr
Somers, NY 10589
Phone (631) 848-8730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 035448 | NY | Yes |
Addresses
Primary practice location
4 Heritage Hills 202 Ctr
Somers, NY 10589-1600
Mailing address
4 Heritage Hills 202 Ctr
Somers, NY 10589-1600
Phone (914) 276-3987
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01433976 | Medicaid | NY |
Other names
- Health Care Pharmacy
Other providers in Somers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.