JNR Pharmacy Brewster Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030737 Issued in NY

Legal business name

JNR PHARMACY BREWSTER INC

Doing business as

JNR Pharmacy

Practice address

2505 Carmel Ave Ste 110-111
Brewster, NY 10509-1155

Phone

(845) 278-8200

Fax

(845) 278-4340

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Sri Talla

Title

Pharmacist

Phone

(845) 392-8254

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JNR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1740570829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CARMEL AVE STE 111",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091156",
            "telephone_number": "845-278-8200",
            "fax_number": "845-278-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 CARMEL AVE STE 110-111",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091155",
            "telephone_number": "845-278-8200",
            "fax_number": "845-278-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNR PHARMACY BREWSTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "TALLA",
        "authorized_official_first_name": "SRI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "845-392-8254"
    },
    "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": "030737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333355",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JNR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imt Physical Therapy of Great Neck
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• Shari Jackson
• Nadine Jean
• Carrie Jimenez Pena
• JNR Pharmacy Corp (jnr pharmacy)
• Elizabeth John
• Jennifer A Joly, MSED
• Joy Jordan
• Anuja Joshi, O.D.

• Community/Retail Pharmacy in Brewster, NY
• Providers in Brewster, 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 Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.