| NPI | 1174616502 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-30 |
| Last Updated | 2021-10-12 |
| Authorized Official | Edward Ilyaich Owner Phone: 7189331222 |
| Mailing Address | 105-107 E Burnside Ave Bronx, NY 10453-4142 United States Phone: (718) 933-1222 | Fax: (718) 933-1255 📍 View Map |
| Primary Practice Address | 105-107 E Burnside Ave Bronx, NY 10453-4142 United States Phone: (718) 933-1222 | Fax: (718) 933-1255 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 00264659 | - |
| Other (non-Medicare) | - | 3349897 | NCPDP Provider Identification Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NY | 014956 |
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About NPI 1174616502
Sjs Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174616502. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Bronx, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174616502?
NPI 1174616502 belongs to Sjs Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Bronx, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174616502 active?
The current status of NPI 1174616502 in the NPPES registry is Active. The record was last updated on 2021-10-12.
What specialty is NPI 1174616502?
NPI 1174616502 is classified under the taxonomy Pharmacy, Community/Retail 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 1174616502?
You can verify NPI 1174616502 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 1174616502?
The primary practice address on file for NPI 1174616502 is 105-107 E Burnside Ave, Bronx, NY 10453-4142. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174616502 issued?
NPI 1174616502 was first issued (enumerated) on 2006-09-30. The NPPES record was last updated on 2021-10-12.
Practice Location Map
Sjs Pharmacy Inc is located at 105-107 E Burnside Ave, Bronx, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sjs Pharmacy 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 1174616502. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 014956 | NY |