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PINEBROOK PHARMACY
NPI 1851634950
Pharmacy in Bronx, NY

Active since March 27, 2013
1183 JEROME AVE, BRONX, NY 10452(718) 992-8182(718) 992-8184 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinebrook Pharmacy NPPES

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

PINEBROOK PHARMACY (NPI 1851634950) is a healthcare organization registered as a pharmacy in Bronx, New York and active in the NPI registry since March 2013. The organization lists Ravikumar Mamidela, President, as its authorized official.

NPPES Registry Identity

NPI1851634950
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePINEBROOK RX INC
Location Address1183 JEROME AVEBronx, NY 10452-3331
Mailing Address1183 Jerome AveBronx, NY 10452-3331 · (718) 992-8182 · Fax (718) 992-8184
Phone(718) 992-8182
Fax(718) 992-8184
Organization SubpartNo
Authorized OfficialRavikumar MamidelaPresident · (718) 992-8182
Enumeration DateMarch 27, 2013
Last NPPES UpdateOctober 30, 2014
✔ NPI 1851634950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 031942
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1183 JEROME AVE, Bronx, NY 10452
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Other Names 1

Doing Business AsPinebrook Pharmacy

Other Identifiers 2

Medicaid03583382NY
Other2140759Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

PINEBROOK PHARMACY, INC.
Pharmacy
1183 JEROME AVE
BRONX, NY 10452
Bronx County (718) 992-8182
PINEBROOK PHARMA INC.
Pharmacy (Community/Retail Pharmacy)
1183 JEROME AVE
BRONX, NY 10452
Bronx County (718) 992-8182
MANOJ BAROT B. S. PHARMACY
Pharmacist
1183 JEROME AVE
BRONX, NY 10452
Bronx County (718) 992-8182
AMANDA MELGAR
Pharmacist
1183 JEROME AVE
BRONX, NY 10452
Bronx County (718) 992-8182

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 Pinebrook Rx Inc's NPI number?

The NPI number for Pinebrook Rx Inc is 1851634950. It was assigned to this organization in the NPPES registry on March 27, 2013. The provider is doing business as Pinebrook Pharmacy.

Where is Pinebrook Rx Inc located?

Pinebrook Rx Inc is located at 1183 Jerome Ave, Bronx, NY 10452. The listed phone number is (718) 992-8182.

What is Pinebrook Rx Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Pinebrook Rx Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Pinebrook Rx Inc 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 Pinebrook Rx Inc was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.