1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Pharmacy
  6. NPI Profile

ST. JESUS PHARMACY CORP
NPI 1083435416
Pharmacy - Long Term Care Pharmacy in New York, NY

Active since October 18, 2024CLIA 33D2348713 · Waiver
4180 BROADWAY, NEW YORK, NY 10033(212) 923-5733(212) 923-5748 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About St. Jesus Pharmacy Corp NPPES

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

ST. JESUS PHARMACY CORP (NPI 1083435416), doing business as St Jesus Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in New York, New York and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Viraj Desai, President, as its authorized official.

NPPES Registry Identity

NPI1083435416
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameST. JESUS PHARMACY CORP
Location Address4180 BROADWAYNew York, NY 10033-3767
Mailing Address4180 BroadwayNew York, NY 10033-3767 · (212) 923-5733 · Fax (212) 923-5748
Phone(212) 923-5733
Fax(212) 923-5748
Organization SubpartNo
Authorized OfficialViraj DesaiPresident · (212) 923-5733
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1083435416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4180 BROADWAY, New York, NY 10033
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Jesus Pharmacy Ltc

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2348713

St Jesus Pharmacy · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2348713
Laboratory TypePharmacy
Certificate Effective DateAugust 11, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jose A. Goris
Laboratory Phone(212) 923-5733
Laboratory LocationSt Jesus Pharmacy4180 Broadway, New York, NY 10033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. YOLANDA MENDEZ PHARMD
Pharmacist
4180 BROADWAY
NEW YORK, NY 10033
New York County (212) 923-5733
ST. JESUS PHARMACY CORP
Pharmacy
4180 BROADWAY
NEW YORK, NY 10033
New York County (212) 923-5733
AMI PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
4180 BROADWAY
NEW YORK, NY 10033
New York County (212) 923-5733
RASIK R VIKANI PHARMACIST
Pharmacist
4180 BROADWAY
NEW YORK, NY 10033
New York County (212) 923-5733

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 St. Jesus Pharmacy Corp's NPI number?

The NPI number for St. Jesus Pharmacy Corp is 1083435416. It was assigned to this organization in the NPPES registry on October 18, 2024. The provider is doing business as St Jesus Pharmacy Ltc.

Where is St. Jesus Pharmacy Corp located?

St. Jesus Pharmacy Corp is located at 4180 Broadway, New York, NY 10033. The listed phone number is (212) 923-5733.

What is St. Jesus Pharmacy Corp's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does St. Jesus Pharmacy Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2348713) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Jesus Pharmacy Corp 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 29 other insurers list St. Jesus Pharmacy Corp 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 St. Jesus Pharmacy Corp was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.