Individual provider Active NPI

Julene June Sinclair

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1952937443
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0654470 Issued in VA
Practice address
1371 Metropolitan Ave Apt 3013
Bronx, NY 10462-7403
Phone
(718) 597-7690
Fax
(718) 597-7696
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0654470 VA Primary
Nutrition Support Pharmacist 1835N1003X 0654470 NY

Addresses

Primary practice location

1371 Metropolitan Ave Apt 3013
Bronx, NY 10462-7403

Mailing address

1371 Metropolitan Ave
Bronx, NY 10462-7403
Phone (917) 767-0779

Other practice location 1

39 Locustwood Blvd
Elmont, NY 11003-1409
Phone (917) 767-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0654470VAMDPharmacist
0654470NYMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 20, 2022 Accepting new patients
Walgreen Co PastSince May 16, 2021 Accepting new patients

Locations

1371 Metropolitan Ave
Apt 3013
Bronx, NY 10462
Phone (718) 597-7690

1371 Metropolitan Ave
Bronx, NY 10462
Phone (718) 597-7690

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1952937443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627403",
            "telephone_number": "917-767-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 METROPOLITAN AVE APT 3013",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627403",
            "telephone_number": "718-597-7690",
            "fax_number": "718-597-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Locustwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Elmont",
            "state": "NY",
            "postal_code": "110031409",
            "country_code": "US",
            "telephone_number": "917-767-0779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "JULENE",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0654470",
            "primary": true
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "NY",
            "license": "0654470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.