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JRA DRUG CORP NPI 1356500425


NPI Information

NPI: 1356500425
Provider Name: JRA DRUG CORP

Doing Business As: JOSE PHARMACY AND SURIGAL SUPPLY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
506 W 207TH ST
NEW YORK, NY
ZIP 10034
Phone: (212) 304-0101
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JRA DRUG CORP is a community/retail pharmacy pharmacy in New York, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JRA DRUG CORP NPI is 1356500425. The provider is registered as an organization entity type.
The provider Is Doing Business As Jose Pharmacy And Surigal Supply.

The provider's business location address is:

506 W 207TH ST
NEW YORK, NY
ZIP 10034-609
Phone: (212) 304-0101
Fax: (212) 304-0788

The provider's authorized official is Jose Luis Susana .
The authorized official title is President and has the following contact phone number (212) 304-0101.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 1/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy042575NEW YORKNo
23336C0003XPharmacyCommunity/Retail Pharmacy028965NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13358113OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
22978976MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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