MEDICARE: ESSENTIAL PHARMACY GROUP 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

General Provider Information

NPI Number	:	1962280743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL PHARMACY GROUP LLC

Provider Business Mailing Address
First Line	:	1203 CASTLE HILL AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4804
Country	:	US
Telephone Number	:	718-684-3889
Fax Number	:	718-684-3890

Provider Business Practice Location Address
First Line	:	1203 CASTLE HILL AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4804
Country	:	US
Telephone Number	:	718-684-3889
Fax Number	:	718-684-3890

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JORGE F. CASTILLO
Credential	:	MANAGER
Telephone Number	:	718-684-3889

Provider Enumeration Date	:	09/21/2023
Last Update Date	:	09/27/2024

Similar Medicare Providers

1619975091 — DR. LUIS A DIAZ MD
Practice Location Address:

1217 CASTLE HILL AVE , BRONX MEDICAL CARE ASSOC., PC
BRONX, NY
10462-4804

Practice Phone: 718-518-9200
Practice Fax: 718-792-1029

1851603898 — BRONX MEDICAL CARE ASSOC., P.C
Practice Location Address:

1217 CASTLE HILL AVE
BRONX, NY
10462-4804

Practice Phone: 718-518-9200
Practice Fax: 866-789-9522

1972384360 — QIUYI ZHANG
Practice Location Address:

1203 CASTLE HILL AVE
BRONX, NY
10462-4804

Practice Phone: 347-425-2843
Practice Fax:

1528486966 — FRIENDLY CARE PHARMACY INC
Practice Location Address:

2614 DECATUR AVE
BRONX, NY
10458-4804

Practice Phone: 718-584-6561
Practice Fax: 718-584-6571

1841151354 — MOBASEFA TRANSPORT INC
Practice Location Address:

186 MCCLELLAN ST
BRONX, NY
10456-4804

Practice Phone: 914-805-8008
Practice Fax: 718-293-0403

1609700418 — GLORIA'S SUPPLIES BRONX LLC
Practice Location Address:

1003 PIERCE AVE APT 2
BRONX, NY
10462-3165

Practice Phone: 718-473-6415
Practice Fax:

Directions to “ESSENTIAL PHARMACY GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.