MEDICARE: JNR PHARMACY BREWSTER 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	030737	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	2130592	OTHER		PK

General Provider Information

NPI Number	:	1740570829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JNR PHARMACY BREWSTER INC

Provider Business Mailing Address
First Line	:	2505 CARMEL AVE STE 111
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-1156
Country	:	US
Telephone Number	:	845-278-8200
Fax Number	:	845-278-4340

Provider Business Practice Location Address
First Line	:	2505 CARMEL AVE STE 110-111
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-1155
Country	:	US
Telephone Number	:	845-278-8200
Fax Number	:	845-278-4340

Authorized Official
Title or Position	:	PHARMACIST
Name	:	SRI TALLA
Credential	:
Telephone Number	:	845-392-8254

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	04/25/2016

Similar Medicare Providers

1780751305 — JNR PHARMACY CORP
Practice Location Address:

2505 CARMEL AVE , ROUTE 6
BREWSTER, NY
10509-1155

Practice Phone: 845-278-8200
Practice Fax: 845-278-4340

1891966990 — DR. FOSTER R. MALMED, D.C., P.C.
Practice Location Address:

2505 CARMEL AVE , SUITE 207
BREWSTER, NY
10509-1155

Practice Phone: 845-279-3400
Practice Fax:

1861717621 — MR. WILLIAM MEDITZ R.PH.
Practice Location Address:

2505 CARMEL AVE , SUITES 110-111
BREWSTER, NY
10509-1155

Practice Phone: 845-278-8200
Practice Fax: 845-278-4340

1740717206 — FALANTE SIMEON
Practice Location Address:

3 MOUNT EBO RD N #191
BREWSTER, NY
10509

Practice Phone: 914-893-8385
Practice Fax:

1295361236 — ANDREW SANTOS FONTES
Practice Location Address:

185 ROUTE 312 STE 303
BREWSTER, NY
10509-2338

Practice Phone: 845-278-7000
Practice Fax:

1174994826 — NORTHERN MEDICAL GROUP, PLLC
Practice Location Address:

111 CLOCK TOWER CMNS
BREWSTER, NY
10509-4055

Practice Phone: 845-279-5187
Practice Fax: 855-703-7570

Directions to “JNR PHARMACY BREWSTER INC ” 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.