Healthcare Provider Details

I. General information

NPI: 1295192383
Provider Name (Legal Business Name): PJP PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2016
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 E TREMONT AVE
BRONX NY
10457-4801
US

IV. Provider business mailing address

621 E TREMONT AVE
BRONX NY
10457-4801
US

V. Phone/Fax

Practice location:
  • Phone: 718-466-5695
  • Fax: 718-466-0539
Mailing address:
  • Phone: 718-466-5695
  • Fax: 718-466-0539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number034356
License Number StateNY

VIII. Authorized Official

Name: PRIYANK PATEL
Title or Position: OWNER
Credential:
Phone: 718-466-5695