Jefferson Pharma Llc
Community/Retail Pharmacy
3058 3rd Ave, Bronx
New York, 10451-4605
929-777-9108 929-777-9109
Jefferson Pharma Llc is a Community/Retail Pharmacy in Bronx, New York. It is located at 3058 3rd Ave, Bronx and it's customer support contact number is 929-777-9108. The authorized person of Jefferson Pharma Llc is Ravinder Rao Annamaneni who is Member of the pharmacy and his contact number is 929-777-9108. Active license number of Jefferson Pharma Llc is 031367 for Community/Retail Pharmacy in New York. Jefferson Pharma Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jefferson Pharma Llc is 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.
Pharmacy Details:
Jefferson Pharma Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jefferson Pharma Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 3058 3rd Ave, Bronx,
New York, 10451-4605 |
| Phone: | 929-777-9108 |
| Fax: | 929-777-9109 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ravinder Rao Annamaneni |
| Position: | Member |
| Contact Number: | 929-777-9108 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1487911368 |
| NPI Enumeration Date: | 18 Apr, 2012 |
| NPI Last Update On: | 02 Feb, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jefferson Pharma Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 031367 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2136214 | Other | | Pk |
| 03456062 | Medicaid | New York | |
Medicare Enrollment:
Jefferson Pharma Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0244487403 | O20120823000662 | Jefferson Pharma Llc. | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3058 3rd Ave,
Bronx, New York |
| Zip: | 10451-4605 |
| Phone Number: | 929-777-9108 |
| Fax Number: | 929-777-9109 |
Patients can reach Jefferson Pharma Llc at
3058 3rd Ave, Bronx, New York or can
call on customer care at 929-777-9108.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.