St Gabriel Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028000 Issued in NY

Legal business name

ST GABRIEL PHARMACY CORP

Doing business as

St Gabriel Pharmacy Corp.

Practice address

20-22 W Burnside Ave
Bronx, NY 10453-4004

Phone

(718) 294-3770

Fax

(718) 294-3772

NPI assigned

Nov 1, 2006

Last updated

Oct 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daneris Jimenez

Title

President

Phone

(718) 294-3770

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• St Gabriel Pharmacy Corp. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1629155734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20-22 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534004",
            "telephone_number": "718-294-3770",
            "fax_number": "718-294-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-22 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534004",
            "telephone_number": "718-294-3770",
            "fax_number": "718-294-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GABRIEL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "DANERIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-294-3770"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068666",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02824633",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Gabriel Pharmacy Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Barnabas Hospital-Pharmacy
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• Jeffrey J St Denis, MSED
• St Dominic's Home
• Matthew St Fleur, MD
• Zacklyn St Hill, RN
• Katia St Jean, LPN
• Stephania St Jean
• Maxine St Louis, MS, CCC-SLP
• Ronald St Louis, MD

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.