MEDICARE: J&C PHARMACY INC

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	019455	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2064551	OTHER		PK

General Provider Information

NPI Number	:	1558475442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&C PHARMACY INC

Provider Business Mailing Address
First Line	:	1027 A MORRIS PARK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461
Country	:	US
Telephone Number	:	718-822-7869
Fax Number	:	718-792-3680

Provider Business Practice Location Address
First Line	:	1027 A MORRIS PARK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461
Country	:	US
Telephone Number	:	718-822-7869
Fax Number	:	718-792-3680

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH CIOLI
Credential	:
Telephone Number	:	718-822-7869

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	01/18/2017

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Directions to “J&C PHARMACY INC ” Practice Location

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