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Export Provider Record NPI 1104821370
Stj Rx Inc.
Organization Subpart: NO
Active
NPI Number1104821370
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1104821370
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-06-15
Last Updated2013-07-19
Authorized OfficialAlex Perchuk
Corporate Secretary
Phone: 7188352000
Mailing Address720 Classon Ave
Brooklyn, NY 11238-4231
United States
Phone: (718) 399-1800 | Fax: (718) 399-2681
📍 View Map
Primary Practice Address720 Classon Ave
Brooklyn, NY 11238-4231
United States
Phone: (718) 399-1800 | Fax: (718) 399-2681
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY01016068
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes333600000X – PharmacyNY017695
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About NPI 1104821370

Stj Rx Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104821370. The primary specialty listed is Pharmacy. The organization is located in Brooklyn, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104821370?

NPI 1104821370 belongs to Stj Rx Inc., a Pharmacy in Brooklyn, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104821370 active?

The current status of NPI 1104821370 in the NPPES registry is Active. The record was last updated on 2013-07-19.

What specialty is NPI 1104821370?

NPI 1104821370 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104821370?

You can verify NPI 1104821370 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104821370?

The primary practice address on file for NPI 1104821370 is 720 Classon Ave, Brooklyn, NY 11238-4231. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104821370 issued?

NPI 1104821370 was first issued (enumerated) on 2005-06-15. The NPPES record was last updated on 2013-07-19.

Practice Location Map

Stj Rx Inc. is located at 720 Classon Ave, Brooklyn, NY. Use the map below to find directions or verify the practice location.

📍 720 Classon Ave, Brooklyn, NY 11238-4231  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Stj Rx Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104821370. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy017695NY
Data Verified from CMS NPPES Last synced: 2026-06-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162