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MEDICINE SHOPPE
NPI 1053426098
Pharmacy - Community/Retail Pharmacy in Port Jervis, NY

Active since August 20, 2006
15 JERSEY AVE, PORT JERVIS, NY 12771(845) 856-6681(845) 856-6532 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Apr 5, 2019 (2 updates tracked since 2019).

About Medicine Shoppe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICINE SHOPPE (NPI 1053426098) is a healthcare organization registered as a community/retail pharmacy in Port Jervis, New York and active in the NPI registry since August 2006. The organization lists Chirag Modi, Owner, as its authorized official.

NPPES Registry Identity

NPI1053426098
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePORT JERVIS PHARMACY LLC
Location Address15 JERSEY AVEPort Jervis, NY 12771-2436
Mailing Address15 Jersey AvePort Jervis, NY 12771-2436
Phone(845) 856-6681
Fax(845) 856-6532
Organization SubpartNo
Authorized OfficialChirag ModiOwner · (734) 377-2584
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1053426098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X · License 024124 (NY)
15 JERSEY AVE, Port Jervis, NY 12771
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Other Names 2

Doing Business AsMedicine Shoppe
Doing Business AsPort Jervis Pharmacy

Other Identifiers 2

Other3374496Other Id Number-commercial Number
Medicaid01879923NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
161 services161 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
146 services146 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Port Jervis Pharmacy carries, from the Medicare DMEPOS supplier directory.

Port Jervis Pharmacy

DMEPOS supplier · Port Jervis, NYOperated by Port Jervis Pharmacy LLC
✔

Accepts Medicare assignment

Port Jervis Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20421749
Medicare Participant SinceApril 1, 2019
Supplier Location15 Jersey Ave Ste 2Port Jervis, NY 12771
Phone(845) 856-6681
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALKA DOROSZ R.PH.
Pharmacist
15 JERSEY AVE
PORT JERVIS, NY 12771
Orange County (845) 856-6681
MS. BARBARA KILBRIDE RPH
Pharmacist
15 JERSEY AVE
PORT JERVIS, NY 12771
Orange County (845) 856-6681
DR. CARL MICHAEL DAVIDSON JR. PHARMD
Pharmacist
15 JERSEY AVE
PORT JERVIS, NY 12771
Orange County (845) 856-6681
REBECCA L ASCHOFF RN
Registered Nurse
15 JERSEY AVE
PORT JERVIS, NY 12771
Orange County (845) 692-8780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Jervis Pharmacy LLC's NPI number?

The NPI number for Port Jervis Pharmacy LLC is 1053426098. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Medicine Shoppe and Port Jervis Pharmacy.

Where is Port Jervis Pharmacy LLC located?

Port Jervis Pharmacy LLC is located at 15 Jersey Ave, Port Jervis, NY 12771. The listed phone number is (845) 856-6681.

What is Port Jervis Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Port Jervis Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Port Jervis Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Port Jervis Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Port Jervis Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Port Jervis Pharmacy LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.