866 EAST TREMONT PHARMACY LLC


Address: 864b E Tremont Ave, Bronx, NY 10460-4201
Phone: 7189913532

866 EAST TREMONT PHARMACY LLC (NPI# 1235677923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235677923
Entity Type Organization
Organization Name 866 EAST TREMONT PHARMACY LLC
Practice Address 864b E Tremont Ave
Bronx
NY 10460-4201
Mailing Address Po Box 740054
Bronx
NY 10474-0001
Practice Telephone 7189913532
Practice Fax Number 7186086002
Mailing Telephone 7189719391
Enumeration Date 2017-02-02
Last Update Date 2020-04-09
Authorized Official Name JACOB JAMRON (CEO)
Authorized Official Telephone 7189719391
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2167720 01

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations 866 EAST TREMONT PHARMACY LLC 283 Commack Road, Commack, Ny 11725

Office Location

Street Address 864B E TREMONT AVE
City BRONX
State NY
Zip Code 10460-4201

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1174093041 Temika Codrington Registered Nurse 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 2018-12-04
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1013463652 Angelica Beato Nurse Practitioner 1154 East Tremont Avenue, Bronx, NY 10460 2016-09-01
1114396827 Wendy I Valdez Social Worker 901 East 172nd St., 3rd Floor, Bronx, NY 10460 2015-09-23
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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NPI Name Taxonomy Address Enumeration
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1245605443 Cedra Healthcare LLC Pharmacy 724 Elton Ave, Bronx, NY 10455-1244 2015-12-14
1346286515 Rb Williamson Inc. Pharmacy 542 Southern Blvd, Bronx, NY 10455-3715 2006-06-22
1073127601 Mt. Carmel Pharmacy Inc Pharmacy 705 E 187th St, Bronx, NY 10458-6803 2020-09-01
1356965636 Blondell Rx Corp Pharmacy 1642 Eastchester Rd, Bronx, NY 10461-2316 2020-06-03
1356855035 Truptisudhir Pharmacy Corp Pharmacy 2901 White Plains Rd, Bronx, NY 10467-8129 2017-11-17
1699059436 Family Pharmacy Solutions Inc Pharmacy 781 E 142nd St, 1st Fl, Bronx, NY 10454-1723 2011-09-28
1073670287 Bronx Psychiatric Center Pharmacy 1500 Waters Pl, Bronx, NY 10461-2723 2007-01-03
1053356261 Prime Psi Inc Pharmacy 2500 Saint Raymonds Ave, Ste 104, Bronx, NY 10461-3146 2006-06-19

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NPI Name Taxonomy Address Enumeration
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1093273500 Pleasant Valley Chemists Inc Pharmacy 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 2019-03-05
1215406939 C L Cressler Inc Pharmacy 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 2018-11-26
1033698840 Rx City Pharmacy, Inc Pharmacy 161 Genesee St Ste 105, Auburn, NY 13021-3390 2018-08-13
1811409451 Monsey Family Drugstore LLC Pharmacy 108 B Route 59, Monsey, NY 10952 2017-11-03
1215448857 Crestwood Health Inc Pharmacy 26 Picotte Dr, Albany, NY 12208-1710 2017-10-23
1205353315 Carepax LLC Pharmacy 382 Route 59 Ste 276, Airmont, NY 10952-3422 2017-08-29
1407395270 Pharmacy Corporation of America Pharmacy 45 Becker Road, Suite D, West Henrietta, NY 14586-9205 2017-02-14
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City BRONX
Zip Code 10460

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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