MEDICARE: C & J WELLNESS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	034782	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2162594	OTHER		PK

General Provider Information

NPI Number	:	1891249462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & J WELLNESS PHARMACY LLC

Provider Business Mailing Address
First Line	:	1425 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-4202
Country	:	US
Telephone Number	:	718-443-0591
Fax Number	:	718-443-0593

Provider Business Practice Location Address
First Line	:	1425 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-4202
Country	:	US
Telephone Number	:	718-443-0591
Fax Number	:	718-443-0593

Authorized Official
Title or Position	:	OWNER/AO
Name	:	JEAN ROMELUS
Credential	:
Telephone Number	:	718-443-0591

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	09/19/2025

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