736 East 152ND Street Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Bronx, NY
NPI 1508040106 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1508040106
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 028648 (NY)
- Legal business name
- 736 EAST 152ND STREET PHARMACY INC
- Practice address
- 736 E 152ND St
Bronx, NY 10455-2203 - Phone
- (718) 292-2088
- Fax
- (718) 292-4884
- NPI assigned
- Dec 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Ronald Jamron, RPH
- Title
- President
- Phone
- (917) 941-2780
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 028648 | NY | Yes |
Addresses
Primary practice location
736 E 152ND St
Bronx, NY 10455-2203
Mailing address
736 E 152ND St
Bronx, NY 10455-2203
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3356955 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- BOCA PHARMACY
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All providers in Bronx, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2008. 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.