Pinebrook Rx Inc
Pharmacy
1183 Jerome Ave, Bronx
New York, 10452-3331
718-992-8182 718-992-8184
Pinebrook Rx Inc is a Pharmacy in Bronx, New York. It is located at 1183 Jerome Ave, Bronx and it's customer support contact number is 718-992-8182. The authorized person of Pinebrook Rx Inc is Ravikumar Mamidela who is President of the pharmacy and his contact number is 718-992-8182. Active license number of Pinebrook Rx Inc is 031942 for Pharmacy in New York. Pinebrook Rx Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pinebrook Rx Inc is 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.
Pharmacy Details:
Pinebrook Rx Inc 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: | Pinebrook Rx Inc |
| Type: | Pharmacy |
| Location: | 1183 Jerome Ave, Bronx,
New York, 10452-3331 |
| Phone: | 718-992-8182 |
| Fax: | 718-992-8184 |
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: | Ravikumar Mamidela |
| Position: | President |
| Contact Number: | 718-992-8182 |
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: | 1851634950 |
| NPI Enumeration Date: | 27 Mar, 2013 |
| NPI Last Update On: | 30 Oct, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pinebrook Rx Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 031942 | 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 |
| 03583382 | Medicaid | New York | |
| 2140759 | Other | | Pk |
Medicare Enrollment:
Pinebrook Rx Inc 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 |
| 8820231145 | O20130905000212 | Pinebrook Rx Inc | DME SUPPLIER - PHARMACY |
Products Available:
Pinebrook Rx Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Orthoses: Off-the-shelf |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1183 Jerome Ave,
Bronx, New York |
| Zip: | 10452-3331 |
| Phone Number: | 718-992-8182 |
| Fax Number: | 718-992-8184 |
Patients can reach Pinebrook Rx Inc at
1183 Jerome Ave, Bronx, New York or can
call on customer care at 718-992-8182.
Comments/ Reviews:
Read all the reviews posted for Pinebrook Rx Inc below. You may also share your own experience with Pinebrook Rx Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.