Organization · Type 2 NPI

Jra Drug Corp

Community/Retail Pharmacy · New York, NY

NPI number 1356500425 Active

Practice location

506 W 207th St
New York, NY 10034-2609

Fax (212) 304-0788

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	042575 (NY)
Community/Retail Pharmacy Primary	3336C0003X	028965 (NY)

Community/Retail Pharmacy: 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 …

Another provider at this address

Howard Allen Goldman, RPHPharmacist New York, NY NPI 1467611202

Other community/retail pharmacy providers in New York

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NPI record

NPI: 1356500425
Entity type: Organization (Type 2)
Issued: Jun 4, 2008
Last updated: Jan 8, 2020
Status: Active

Other names

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Jose Pharmacy and Surigal Supply · doing business as
Jose Pharmacy and Surigal Supply · doing business as

Authorized official

Jose Luis Susana
President
(212) 304-0101

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356500425

Jra Drug Corp's National Provider Identifier is 1356500425, issued on Jun 4, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in New York, NY. The record was last updated on Jan 8, 2020.