736 Jackson Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

736 JACKSON PHARMACY CORP

Practice address

736 E 152ND St
Bronx, NY 10455-2203

Phone

(516) 850-1656

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Hiren Patel, PHARM D.NPI 1881916476

Title

Owner

Phone

(516) 850-1656

Specialties & licenses 1

Addresses

Other names 1

• Boca Pharmacy 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hiren Patel, PHARM D

  • Pharmacist
  • Bronx, NY
  • NPI 1881916476
  NPD Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1770077604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WHEELER AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071610",
            "telephone_number": "516-850-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 E 152ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552203",
            "telephone_number": "516-850-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "736 JACKSON PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-850-1656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 5J Transportation Inc
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• 736 East 152ND Street Pharmacy Inc
• 75 Burnside Drug and Surgical Inc
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• 786 Medical PC
• 810 Dental Association
• 866 East Tremont Pharmacy LLC

• 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 Jun 14, 2018; 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.