Medicine Shoppe

LBN: Port Jervis Pharmacy Llc
Medicine Shoppe is an health care organization with primary practice located at 15 Jersey Ave , Port Jervis NY 12771-2436. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Port Jervis Pharmacy Llc can be contacted via phone (845) 856-6681, or through Modi, Chirag via phone (734) 377-2584.

Contact Information

Primary practice address
15 Jersey Ave Port Jervis NY 12771-2436
Phone: (845) 856-6681
Fax: (845) 856-6532
Website:
Map and Directions
Authorized official contact:
Name: Modi, Chirag R.PH.
Phone: (734) 377-2584

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 024124 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1053426098
LBN Legal business name Port Jervis Pharmacy Llc
DBA Doing business as Medicine Shoppe
Authorized official Modi, Chirag R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053426098 NPPES
Other 3374496 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 01879923 OTHER ID NUMBER-COMMERCIAL NUMBER

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