ST JUDES PHCY AND SURG SPLY CORP
NPI 1922178730
Pharmacy - Community/Retail Pharmacy in Brooklyn, NY

Q: What is St Jude Pharmacy & Surgical Supp's NPI number?

The NPI number for St Jude Pharmacy & Surgical Supp is 1922178730. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as St Judes Phcy And Surg Sply Corp.

Q: What is St Jude Pharmacy & Surgical Supp's specialty?

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

Active since November 09, 2006

121 SAINT NICHOLAS AVE, BROOKLYN, NY 11237(718) 381-5116(718) 417-3621 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St Judes Phcy And Surg Sply Corp NPPES

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

ST JUDES PHCY AND SURG SPLY CORP (NPI 1922178730) is a healthcare organization registered as a community/retail pharmacy in Brooklyn, New York and active in the NPI registry since November 2006. The organization lists Mitchell Chervin, Supervising Phcst, as its authorized official.

NPPES Registry Identity

NPI1922178730

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameST JUDE PHARMACY & SURGICAL SUPP

Location Address121 SAINT NICHOLAS AVEBrooklyn, NY 11237-4043

Mailing Address121 Saint Nicholas AveBrooklyn, NY 11237-4043 · (718) 381-5116 · Fax (718) 417-3621

Phone(718) 381-5116

Fax(718) 417-3621

Organization SubpartNo

Authorized OfficialMitchell ChervinSupervising Phcst · (718) 381-5116

Enumeration DateNovember 9, 2006

Last NPPES UpdateOctober 3, 2011

✔ NPI 1922178730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NY · 030756

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

121 SAINT NICHOLAS AVE, Brooklyn, NY 11237

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Other Names 1

Doing Business AsSt Judes Phcy And Surg Sply Corp

Other Identifiers 3

Medicaid01061563NY

Other3391478Ncpdp Provider Identification Number

Medicare NSC0453950001

Other Providers at the Same Location NPPES 10

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

TING LIN RPH

Pharmacist