514 Willis Ave Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032158 Issued in NY

Legal business name

514 WILLIS AVE PHARMACY CORP

Doing business as

Boca Pharmacy

Practice address

514 Willis Ave
Bronx, NY 10455-4028

Phone

(718) 292-7979

Fax

(718) 701-0974

NPI assigned

Jul 1, 2013

Last updated

Jul 19, 2018By 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

Jacob Jamron

Title

Ceo

Phone

(718) 991-3519

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Boca Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1669812954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554028",
            "telephone_number": "718-292-7979",
            "fax_number": "718-701-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554028",
            "telephone_number": "718-292-7979",
            "fax_number": "718-701-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "514 WILLIS AVE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "JAMRON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-991-3519"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3Rd Leaf Clover Consulting LLC
• 4-A-Chiro,P.C.
• 43 Chruch Street Dental PC
• 5 Borough Anesthesia, PLLC
• 505 Dental Associates PLLC
• 514 Willis Avenue Drug Corp (Boca Pharmacy)
• 519 Eyecare Inc.
• 5247 Broadway Drugs Inc (Drug Mart)
• 55 Sandalwood Enterprises Inc (The Hearing Center)
• 55 Sandalwood Enterprises Inc (The Hearing Center)

• 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 Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.