Organization Active NPI

JNR Pharmacy Corp

Doing business as jnr pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Brewster, NY
National Provider Identifier
1780751305
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
024990 Issued in NY
Legal business name
JNR PHARMACY CORP
Doing business as
jnr pharmacy
Practice address
2505 Carmel Ave
Route 6
Brewster, NY 10509-1155
Phone
(845) 278-8200
Fax
(845) 278-4340
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jorge A Restrepo, RPH
Title
President
Phone
(845) 278-8200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 024990 NY Primary
Community/Retail Pharmacy 3336C0003X 024990 NY
Compounding Pharmacy 3336C0004X 024990 NY

Addresses

Primary practice location

2505 Carmel Ave
Route 6
Brewster, NY 10509-1155

Mailing address

2505 Carmel Ave
Route 6
Brewster, NY 10509-1155
Phone (845) 278-8200

Other identifiers 1

IdentifierTypeStateIssuer
02159020MedicaidNY

Other names 1

  • jnr pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2505 Carmel Ave
#6
Brewster, NY 10509
Phone (845) 278-8200

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780751305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CARMEL AVE",
            "address_2": "ROUTE 6",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091155",
            "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",
            "address_2": "ROUTE 6",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091155",
            "telephone_number": "845-278-8200",
            "fax_number": "845-278-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNR PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-278-8200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "024990",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024990",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "024990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02159020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jnr pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.